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General NPI Number Information
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NPI Number | 1457098436
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Entity Type | Individual
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Provider Name | CATHERINE JEAN PROBASCO-BASLER APN-C
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Gender | Female
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Dates
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Enumeration Date | 05/19/2022
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Last Update Date | 05/19/2022
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Provider Practice Location Address
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Address Line | HOME CARE AND HOSPICE OF THE VALLEY 823 GRAND AVE
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City | GLENWOOD SPRINGS
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State | CO
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Zip | 81601
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Country | US
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Telephone | 970-930-6008
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Fax | 970-927-6659
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Provider Business Mailing Address
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Address Line | 28 BROKEN WING DR
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City | NEW CASTLE
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State | CO
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Zip | 81647-8514
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Country | US
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Telephone | 303-437-1727
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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 | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | APN.0002817-NP
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License Number State | CO
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