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General NPI Number Information
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NPI Number | 1386884823
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Entity Type | Individual
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Provider Name | LISA ANN WILKINSON NP
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Gender | Female
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Dates
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Enumeration Date | 02/24/2009
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Last Update Date | 03/13/2014
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Provider Practice Location Address
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Address Line | 1041 LINCOLN AVENUE
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City | STEAMBOAT SPRINGS
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State | CO
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Zip | 80487
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Country | US
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Telephone | 970-846-4148
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Fax | 970-875-7738
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Provider Business Mailing Address
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Address Line | P.O. BOX 883316
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City | STEAMBOAT SPRINGS
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State | CO
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Zip | 80488
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Country | US
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Telephone | 970-846-4148
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Fax | 877-332-1401
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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 | 87905
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License Number State | CO
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