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NPI 1427143510

NPI 1427143510 : CAROL SUE MASLYN NP : DENVER, CO

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General NPI Number Information
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    NPI Number           |    1427143510
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    Entity Type          |    Individual 
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    Provider Name        |    CAROL SUE MASLYN NP
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    10/04/2006
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    Last Update Date     |    05/06/2013
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Provider Practice Location Address
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    Address Line         |    1930 S FEDERAL BLVD 
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    City                 |    DENVER
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    State                |    CO
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    Zip                  |    80219-5501
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    Country              |    US
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    Telephone            |    303-934-2202
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    Fax                  |    303-934-1473
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Provider Business Mailing Address
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    Address Line         |    1930 S FEDERAL BLVD 
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    City                 |    DENVER
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    State                |    CO
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    Zip                  |    80219-5501
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    Country              |    US
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    Telephone            |    303-934-2202
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    Fax                  |    303-934-1473
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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        |    363LP2300X
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    Taxonomy Name        |    Primary Care Nurse Practitioner
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    License Number       |    55108
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    License Number State |    CO
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