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General NPI Number Information
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NPI Number | 1295671485
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Entity Type | Organization
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Legal Business Name | LUPA HEALTH, LLC
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Dates
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Enumeration Date | 04/28/2026
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Last Update Date | 04/28/2026
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Provider Practice Location Address
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Address Line | 418 S HOWES ST UNIT 200-B
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City | FORT COLLINS
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State | CO
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Zip | 80521-2802
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Country | US
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Telephone | 516-353-2092
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Fax |
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Provider Business Mailing Address
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Address Line | 418 S HOWES ST UNIT 200-B
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City | FORT COLLINS
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State | CO
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Zip | 80521-2802
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | EMMA RICHARDSON
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Credential | PA-C
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Telephone | 516-353-2092
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208D00000X
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Taxonomy Name | General Practice Physician
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License Number |
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License Number State |
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