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NPI 1295088409

NPI 1295088409 : PAIGE ASHLEY HENDRIX NP : LONE TREE, CO

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General NPI Number Information
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    NPI Number           |    1295088409
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    Entity Type          |    Individual 
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    Provider Name        |    PAIGE ASHLEY HENDRIX NP
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    10/25/2012
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    Last Update Date     |    08/10/2023
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Provider Practice Location Address
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    Address Line         |    10107 RIDGEGATE PKWY BLDG STE 320 
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    City                 |    LONE TREE
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    State                |    CO
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    Zip                  |    80124-5637
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    Country              |    US
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    Telephone            |    303-795-0890
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    Fax                  |    303-795-3568
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Provider Business Mailing Address
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    Address Line         |    10107 RIDGEGATE PKWY BLDG STE 320 
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    City                 |    LONE TREE
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    State                |    CO
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    Zip                  |    80124-5637
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    Country              |    US
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    Telephone            |    303-795-0890
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    Fax                  |    303-795-3568
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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        |    163W00000X
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    Taxonomy Name        |    Registered Nurse
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    License Number       |    0199447
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    License Number State |    CO
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Taxonomy #2
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    Taxonomy Code        |    363LX0001X
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    Taxonomy Name        |    Obstetrics & Gynecology Nurse Practitioner
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    License Number       |    0990476-NP
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    License Number State |    CO
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