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General NPI Number Information
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NPI Number | 1427515485
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Entity Type | Individual
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Provider Name | CHRISTIAN DIANA FRITCH
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Gender | Female
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Dates
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Enumeration Date | 02/26/2019
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Last Update Date | 08/08/2024
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Provider Practice Location Address
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Address Line | 8990 WASHINGTON ST
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City | THORNTON
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State | CO
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Zip | 80229-4537
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Country | US
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Telephone | 303-650-4460
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Fax | 720-565-4129
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Provider Business Mailing Address
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Address Line | 1735 S PUBLIC RD
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City | LAFAYETTE
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State | CO
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Zip | 80026-7093
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Country | US
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Telephone | 303-650-4460
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Fax | 720-565-4131
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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 | 95011250
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License Number State | CA
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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 | 0994249
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License Number State | CO
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