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General NPI Number Information
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NPI Number | 1386628766
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Entity Type | Individual
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Provider Name | JANET E. HASSELL FNP
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Gender | Female
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Dates
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Enumeration Date | 11/30/2005
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Last Update Date | 02/13/2012
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Provider Practice Location Address
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Address Line | 3150 N 12TH ST
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City | GRAND JUNCTION
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State | CO
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Zip | 81506-2863
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Country | US
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Telephone | 970-255-2576
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Fax | 970-254-2398
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Provider Business Mailing Address
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Address Line | 3150 N. 12TH STREET PO BOX 10700
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City | GRAND JUNCTION
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State | CO
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Zip | 81502-5517
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Country | US
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Telephone | 970-255-1576
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Fax | 970-254-2398
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 164990
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License Number State | CO
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