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General NPI Number Information
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NPI Number | 1407059355
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Entity Type | Individual
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Provider Name | JENNY LEONG ABERNATHY FNP
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Gender | Female
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Dates
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Enumeration Date | 06/07/2007
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Last Update Date | 06/12/2024
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Provider Practice Location Address
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Address Line | 101 ERIE PKWY STE 101
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City | ERIE
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State | CO
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Zip | 80516-4071
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Country | US
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Telephone | 303-415-5810
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Fax | 303-415-5820
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Provider Business Mailing Address
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Address Line | 5450 WESTERN AVE
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City | BOULDER
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State | CO
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Zip | 80301-2709
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Country | US
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Telephone | 303-415-4770
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Fax | 303-415-4769
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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 | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | APN.0004740-NP
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License Number State | CO
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Taxonomy #2
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | APN.0004740-NP
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License Number State | CO
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