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General NPI Number Information
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NPI Number | 1306668496
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Entity Type | Individual
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Provider Name | MRS. DORA SINTIM ISSAH
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Gender | Female
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Dates
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Enumeration Date | 10/29/2024
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Last Update Date | 10/29/2024
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Provider Practice Location Address
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Address Line | 3101 W 14TH AVE
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City | DENVER
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State | CO
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Zip | 80204-2203
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Country | US
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Telephone | 303-504-6741
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Fax |
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Provider Business Mailing Address
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Address Line | 5205 BALFOUR CT
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City | MIDLAND
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State | TX
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Zip | 79707-2192
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Country | US
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Telephone | 404-518-7775
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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 | 163WP0807X
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Taxonomy Name | Child & Adolescent Psychiatric/Mental Health Registered Nurse
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License Number | 226800
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License Number State | GA
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Taxonomy #2
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Taxonomy Code | 163WP0808X
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Taxonomy Name | Psychiatric/Mental Health Registered Nurse
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License Number | 226800
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License Number State | GA
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Taxonomy #3
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Taxonomy Code | 163WP0809X
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Taxonomy Name | Adult Psychiatric/Mental Health Registered Nurse
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License Number | 226800
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License Number State | GA
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Taxonomy #4
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Taxonomy Code | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | 226800
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License Number State | GA
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