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General NPI Number Information
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NPI Number | 1205561529
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Entity Type | Individual
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Provider Name | SARA KONOPKA AGNP-C
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Gender | Female
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Dates
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Enumeration Date | 07/20/2022
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Last Update Date | 12/19/2025
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Provider Practice Location Address
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Address Line | 2200 E 104TH AVE STE 115
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City | THORNTON
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State | CO
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Zip | 80233-4402
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Country | US
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Telephone | 303-452-2766
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Fax | 303-252-8694
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Provider Business Mailing Address
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Address Line | 999 17TH ST STE 500
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City | DENVER
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State | CO
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Zip | 80202-2728
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Country | US
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Telephone | 720-728-5170
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Fax | 720-866-9967
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LA2200X
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Taxonomy Name | Adult Health Nurse Practitioner
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License Number | APN.0997777-NP
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License Number State | CO
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