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General NPI Number Information
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NPI Number | 1245367226
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Entity Type | Individual
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Provider Name | LARA J BOX
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Gender | Female
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Dates
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Enumeration Date | 02/27/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 11245 HURON ST
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City | WESTMINSTER
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State | CO
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Zip | 80234-2806
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Country | US
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Telephone | 303-743-5855
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Fax |
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Provider Business Mailing Address
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Address Line | 380 LEONARD LN
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City | NORTHGLENN
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State | CO
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Zip | 80233-3355
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Country | US
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Telephone | 303-254-9992
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Fax |
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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 | 376K00000X
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Taxonomy Name | Nurse's Aide
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License Number |
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License Number State |
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