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General NPI Number Information
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NPI Number | 1356276992
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Entity Type | Individual
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Provider Name | PAIGE KELLY
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Gender | Female
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Dates
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Enumeration Date | 06/16/2026
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Last Update Date | 06/16/2026
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Provider Practice Location Address
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Address Line | 13123 E 16TH AVE
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City | AURORA
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State | CO
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Zip | 80045-7106
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Country | US
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Telephone | 720-777-1234
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Fax |
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Provider Business Mailing Address
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Address Line | 5726 FIG CT
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City | ARVADA
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State | CO
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Zip | 80002-1158
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Country | US
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Telephone | 310-947-4404
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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 | 363LP0222X
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Taxonomy Name | Critical Care Pediatric Nurse Practitioner
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License Number | APN.1001436-NP
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License Number State | CO
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