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General NPI Number Information
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NPI Number | 1316554009
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Entity Type | Individual
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Provider Name | LISA NAJERA WHNP-BC
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Gender | Female
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Dates
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Enumeration Date | 09/26/2020
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Last Update Date | 06/10/2021
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Provider Practice Location Address
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Address Line | 12631 E 17TH AVE STE B198-2
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City | AURORA
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State | CO
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Zip | 80045-2527
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Country | US
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Telephone | 720-848-1420
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Fax |
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Provider Business Mailing Address
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Address Line | 12631 E 17TH AVE STE B198-2
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City | AURORA
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State | CO
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Zip | 80045-2527
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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 |
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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 | 363LW0102X
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Taxonomy Name | Women's Health Nurse Practitioner
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License Number | APN.0995872
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License Number State | CO
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