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General NPI Number Information
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NPI Number | 1467555409
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Entity Type | Individual
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Provider Name | JANET LEIGH WOLVIN NP
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Gender | Female
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Dates
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Enumeration Date | 09/06/2006
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Last Update Date | 09/10/2013
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Provider Practice Location Address
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Address Line | 1800 E 3RD AVE SUITE 109
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City | DURANGO
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State | CO
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Zip | 81301-5016
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Country | US
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Telephone | 970-764-1790
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Fax | 970-375-7927
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Provider Business Mailing Address
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Address Line | 1 MERCADO ST SUITE 270
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City | DURANGO
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State | CO
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Zip | 81301-7306
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Country | US
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Telephone | 970-382-2000
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Fax | 970-382-2069
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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 | 112132
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License Number State | CO
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