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General NPI Number Information
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NPI Number | 1457936973
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Entity Type | Individual
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Provider Name | TAMMIE HILLIARD
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Gender | Female
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Dates
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Enumeration Date | 03/16/2021
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Last Update Date | 10/14/2025
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Provider Practice Location Address
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Address Line | 7610 N UNION BLVD
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City | COLORADO SPRINGS
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State | CO
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Zip | 80920-3891
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Country | US
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Telephone | 719-434-8810
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Fax |
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Provider Business Mailing Address
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Address Line | 9609 WATERBURY DR
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City | PEYTON
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State | CO
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Zip | 80831-6831
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Country | US
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Telephone | 719-434-8810
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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 | APN.0996206-NP
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License Number State | CO
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