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NPI 1336090216

NPI 1336090216 : AUTUMN M MORNING STAR PHD : LARKSPUR, CO

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General NPI Number Information
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    NPI Number           |    1336090216
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    Entity Type          |    Individual 
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    Provider Name        |    AUTUMN M MORNING STAR PHD
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    02/05/2026
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    Last Update Date     |    02/05/2026
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Provider Practice Location Address
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    Address Line         |    5580 OSAGE PL 
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    City                 |    LARKSPUR
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    State                |    CO
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    Zip                  |    80118-9040
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    Country              |    US
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    Telephone            |    303-551-5026
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    5580 OSAGE PL 
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    City                 |    LARKSPUR
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    State                |    CO
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    Zip                  |    80118-9040
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    Country              |    US
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    Telephone            |    303-551-5026
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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        |    171400000X
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    Taxonomy Name        |    Health & Wellness Coach
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    License Number       |    
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    License Number State |    
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