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General NPI Number Information
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NPI Number | 1265953285
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Entity Type | Individual
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Provider Name | ELIZABETH J LOCRICCHIO FNP-C
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Gender | Female
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Dates
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Enumeration Date | 06/29/2017
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Last Update Date | 04/11/2019
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Provider Practice Location Address
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Address Line | 101 ERIE PKWY, STE 201C
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City | ERIE
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State | CO
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Zip | 80516-4072
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Country | US
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Telephone | 303-415-5816
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Fax | 303-293-0625
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Provider Business Mailing Address
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Address Line | 5450 WESTERN AVE
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City | BOULDER
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State | CO
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Zip | 80301-2709
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Country | US
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Telephone | 303-415-5816
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Fax | 303-293-0625
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | APN.0993277-NP
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License Number State | CO
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