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General NPI Number Information
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NPI Number | 1447628011
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Entity Type | Individual
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Provider Name | CANDACE NICOLE POLITE NP-C
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Gender | Female
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Dates
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Enumeration Date | 09/12/2015
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Last Update Date | 04/29/2025
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Provider Practice Location Address
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Address Line | 3620 AUSTIN BLUFFS PKWY
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City | COLORADO SPRINGS
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State | CO
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Zip | 80918-6631
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Country | US
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Telephone | 719-325-0342
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Fax |
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Provider Business Mailing Address
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Address Line | 5532 BLUE MOON DR
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City | COLORADO SPRINGS
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State | CO
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Zip | 80924-4212
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Country | US
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Telephone | 310-482-9203
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Fax |
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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 | 876850
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License Number State | MS
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Taxonomy #2
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | APN.1000664-NP
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License Number State | CO
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Taxonomy #3
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | F07151394
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License Number State | CA
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Taxonomy #4
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | 716817
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License Number State | CA
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