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General NPI Number Information
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NPI Number | 1386693802
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Entity Type | Individual
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Provider Name | LAUREL MARIE NANKEY P A
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Gender | Female
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Dates
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Enumeration Date | 05/10/2006
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Last Update Date | 06/25/2025
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Provider Practice Location Address
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Address Line | 10120 E DRY CREEK RD STE 101
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City | ENGLEWOOD
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State | CO
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Zip | 80112-2772
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Country | US
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Telephone | 720-738-1122
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Fax | 720-738-1139
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Provider Business Mailing Address
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Address Line | 1805 SHEA CENTER DR STE 301
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City | HIGHLANDS RANCH
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State | CO
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Zip | 80129-2277
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Country | US
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Telephone |
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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 | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | 1067
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License Number State | CO
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