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General NPI Number Information
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NPI Number | 1265604516
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Entity Type | Individual
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Provider Name | AMIE C NELSON RN, BSN
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Gender | Female
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Dates
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Enumeration Date | 03/27/2008
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Last Update Date | 03/27/2008
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Provider Practice Location Address
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Address Line | 8383 W ALAMEDA AVE
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City | LAKEWOOD
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State | CO
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Zip | 80226-3007
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Country | US
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Telephone | 303-239-7285
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Fax |
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Provider Business Mailing Address
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Address Line | 9760 W 17TH AVE
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City | LAKEWOOD
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State | CO
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Zip | 80215-2833
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Country | US
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Telephone | 303-550-3772
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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 | 163WP0200X
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Taxonomy Name | Pediatric Registered Nurse
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License Number | 112102
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License Number State | CO
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