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General NPI Number Information
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NPI Number | 1437340957
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Entity Type | Individual
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Provider Name | ELIZABETH JETTER YOON NP
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Gender | Female
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Dates
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Enumeration Date | 08/08/2007
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Last Update Date | 09/02/2015
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Provider Practice Location Address
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Address Line | 11750 W 2ND PL SUITE 300
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City | LAKEWOOD
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State | CO
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Zip | 80228-1575
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Country | US
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Telephone | 303-566-3100
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Fax | 303-542-7300
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Provider Business Mailing Address
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Address Line | 11750 W 2ND PL SUITE 300
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City | LAKEWOOD
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State | CO
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Zip | 80228-1575
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Country | US
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Telephone | 303-566-3100
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Fax | 303-542-7300
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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 | 178052
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License Number State | CO
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