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General NPI Number Information
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NPI Number | 1295054690
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Entity Type | Individual
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Provider Name | TARA S CALMES-NORGAARD DNP
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Gender | Female
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Dates
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Enumeration Date | 05/25/2010
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Last Update Date | 02/22/2022
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Provider Practice Location Address
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Address Line | 2362 E PROSPECT RD
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City | FORT COLLINS
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State | CO
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Zip | 80525-1357
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Country | US
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Telephone | 970-495-0999
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Fax |
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Provider Business Mailing Address
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Address Line | 2362 E PROSPECT RD
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City | FORT COLLINS
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State | CO
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Zip | 80525-1357
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Country | US
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Telephone | 970-495-0999
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Fax | 970-495-1016
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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 | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | 150712
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License Number State | WI
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Taxonomy #2
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Taxonomy Code | 363LA2200X
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Taxonomy Name | Adult Health Nurse Practitioner
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License Number | 100061
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License Number State | CO
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Taxonomy #3
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Taxonomy Code | 363LA2200X
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Taxonomy Name | Adult Health Nurse Practitioner
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License Number | R217224-0
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License Number State | MN
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