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General NPI Number Information
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NPI Number | 1265692776
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Entity Type | Individual
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Provider Name | TARA GENE O'CONNOR FNP
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Gender | Female
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Dates
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Enumeration Date | 06/10/2008
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Last Update Date | 02/01/2022
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Provider Practice Location Address
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Address Line | 799 E HAMPDEN AVE STE 300
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City | ENGLEWOOD
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State | CO
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Zip | 80113-2762
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Country | US
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Telephone | 303-788-6490
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Fax | 303-788-5451
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Provider Business Mailing Address
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Address Line | 4900 S MONACO ST STE 210
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City | DENVER
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State | CO
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Zip | 80237-3487
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Country | US
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Telephone | 303-788-8355
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Fax | 303-788-4448
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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 | 163WG0000X
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Taxonomy Name | General Practice Registered Nurse
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License Number | RN-163779
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License Number State | CO
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Taxonomy #2
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | NP5752
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License Number State | CO
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