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General NPI Number Information
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NPI Number | 1336034727
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Entity Type | Individual
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Provider Name | DENISE PAULSON PMHNP-BC
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Gender | Female
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Dates
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Enumeration Date | 06/09/2025
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Last Update Date | 09/22/2025
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Provider Practice Location Address
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Address Line | 1630 DRY CREEK DR STE 100-B
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City | LONGMONT
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State | CO
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Zip | 80503-6409
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Country | US
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Telephone | 970-460-6230
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Fax | 888-965-4615
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Provider Business Mailing Address
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Address Line | 4803 BOARDWALK DR STE 120
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City | FORT COLLINS
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State | CO
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Zip | 80525-3798
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Country | US
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Telephone | 970-310-3406
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Fax | 888-965-4615
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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 | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | APN.1000871-NP
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License Number State | CO
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