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General NPI Number Information
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NPI Number | 1487170502
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Entity Type | Individual
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Provider Name | SUNSHINE CELESTINA STELLMON FNP
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Gender | Female
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Dates
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Enumeration Date | 08/21/2017
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Last Update Date | 02/08/2021
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Provider Practice Location Address
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Address Line | 1100 HAXTON DR UNIT 100
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City | FORT COLLINS
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State | CO
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Zip | 80525-6213
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Country | US
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Telephone | 970-223-1211
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Fax | 970-444-2220
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Provider Business Mailing Address
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Address Line | 2320 LODGEPOLE CREEK DR
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City | FORT COLLINS
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State | CO
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Zip | 80528-3136
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Country | US
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Telephone | 505-363-1779
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | CNP-02757
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License Number State | NM
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Taxonomy #2
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | APN.0995607-NP
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License Number State | CO
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