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General NPI Number Information
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NPI Number | 1326921263
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Entity Type | Individual
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Provider Name | SHERRI HEAD
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Gender | Female
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Dates
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Enumeration Date | 07/29/2025
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Last Update Date | 07/29/2025
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Provider Practice Location Address
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Address Line | 4575 BYRD DR
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City | LOVELAND
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State | CO
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Zip | 80538-7198
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Country | US
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Telephone | 970-593-3300
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Fax | 970-962-4901
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Provider Business Mailing Address
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Address Line | 5720 OSAGE AVE APT 305
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City | CHEYENNE
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State | WY
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Zip | 82009-3971
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Country | US
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Telephone | 970-417-8811
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Fax | 970-962-4901
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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 | 164W00000X
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Taxonomy Name | Licensed Practical Nurse
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License Number | PN.0048451
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License Number State | CO
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