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General NPI Number Information
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NPI Number | 1295349462
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Entity Type | Individual
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Provider Name | KATHERINE PEDERSEN FNP
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Gender | Female
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Dates
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Enumeration Date | 09/03/2020
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Last Update Date | 09/18/2020
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Provider Practice Location Address
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Address Line | 3827 N LAFAYETTE ST
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City | DENVER
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State | CO
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Zip | 80205-3339
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Country | US
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Telephone | 303-500-1518
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Fax | 720-598-0440
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Provider Business Mailing Address
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Address Line | 1050 HOOKER ST
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City | DENVER
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State | CO
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Zip | 80204-3241
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Country | US
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Telephone | 520-991-2923
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | APN.09955986-NP
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License Number State | CO
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Taxonomy #2
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | APN.0995586-NP
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License Number State | CO
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