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General NPI Number Information
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NPI Number | 1326058165
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Entity Type | Individual
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Provider Name | REBECCA HENDERSON NIZNIK PA
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Gender | Female
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Dates
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Enumeration Date | 08/08/2006
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Last Update Date | 02/02/2018
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Provider Practice Location Address
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Address Line | 595 CHAPEL HILLS DR STE 302
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City | COLORADO SPRINGS
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State | CO
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Zip | 80920-1057
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Country | US
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Telephone | 719-364-4141
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Fax | 719-364-4140
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Provider Business Mailing Address
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Address Line | 2695 ROCKY MOUNTAIN AVE STE 150
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City | LOVELAND
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State | CO
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Zip | 80538-9071
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Country | US
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Telephone | 970-624-2403
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Fax | 970-490-4173
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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 | 363AM0700X
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Taxonomy Name | Medical Physician Assistant
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License Number | 1644
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License Number State | CO
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Taxonomy #2
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Taxonomy Code | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | PA.0001644
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License Number State | CO
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