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General NPI Number Information
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NPI Number | 1215752647
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Entity Type | Individual
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Provider Name | ERIC MAKOVSKY APN, RN, RXN
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Gender | Male
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Dates
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Enumeration Date | 11/20/2024
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Last Update Date | 06/16/2025
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Provider Practice Location Address
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Address Line | 300 W OTTLEY AVE
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City | FRUITA
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State | CO
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Zip | 81521-2118
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Country | US
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Telephone | 970-858-2772
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Fax | 970-858-2202
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Provider Business Mailing Address
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Address Line | PO BOX 130
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City | FRUITA
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State | CO
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Zip | 81521-0130
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Country | US
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Telephone | 970-858-2575
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Fax | 970-858-2208
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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 | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | RN.1696738
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License Number State | CO
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Taxonomy #2
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Taxonomy Code | 364S00000X
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Taxonomy Name | Clinical Nurse Specialist
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License Number | APN.0999760-CNS
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License Number State | CO
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