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General NPI Number Information
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NPI Number | 1306263181
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Entity Type | Individual
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Provider Name | SHAWN A. KOURY NP-C
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Gender | Female
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Dates
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Enumeration Date | 03/18/2014
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Last Update Date | 05/29/2025
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Provider Practice Location Address
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Address Line | 1104 N MAIN ST
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City | PUEBLO
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State | CO
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Zip | 81003-2826
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Country | US
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Telephone | 719-298-4430
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Fax |
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Provider Business Mailing Address
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Address Line | 1104 N MAIN ST
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City | PUEBLO
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State | CO
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Zip | 81003-2826
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Country | US
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Telephone | 719-298-4430
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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.0991118-NP
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License Number State | CO
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Taxonomy #2
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | 0101601-NP
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License Number State | CO
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Taxonomy #3
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | APN.0991118-NP
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License Number State | CO
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