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General NPI Number Information
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NPI Number | 1306717699
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Entity Type | Individual
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Provider Name | ELIZABETH ANNA HAUGEN CPNP-PC
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Gender | Female
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Dates
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Enumeration Date | 09/17/2025
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Last Update Date | 09/17/2025
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Provider Practice Location Address
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Address Line | 2900 E 136TH AVE STE 201
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City | THORNTON
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State | CO
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Zip | 80241-3542
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Country | US
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Telephone | 303-996-6005
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Fax |
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Provider Business Mailing Address
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Address Line | 1255 N OGDEN ST APT 501
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City | DENVER
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State | CO
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Zip | 80218-1943
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Country | US
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Telephone | 303-941-4325
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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 | 363LP0200X
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Taxonomy Name | Pediatric Nurse Practitioner
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License Number | 1001091
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License Number State | CO
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