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General NPI Number Information
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NPI Number | 1487179909
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Entity Type | Individual
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Provider Name | TIMOTHY GIVAN CNTP
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Gender | Male
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Dates
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Enumeration Date | 08/04/2017
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Last Update Date | 01/17/2025
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Provider Practice Location Address
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Address Line | 914 BARASINGHA ST
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City | SEVERANCE
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State | CO
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Zip | 80550-3813
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Country | US
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Telephone | 303-725-2553
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Fax |
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Provider Business Mailing Address
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Address Line | 914 BARASINGHA ST
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City | SEVERANCE
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State | CO
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Zip | 80550-3813
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Country | US
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Telephone | 303-725-2553
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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 | 133N00000X
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Taxonomy Name | Nutritionist
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License Number |
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License Number State | CO
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Taxonomy #2
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Taxonomy Code | 133NN1002X
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Taxonomy Name | Nutrition Education Nutritionist
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License Number |
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License Number State | CO
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Taxonomy #3
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Taxonomy Code | 2255A2300X
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Taxonomy Name | Athletic Trainer
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 171400000X
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Taxonomy Name | Health & Wellness Coach
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number |
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License Number State |
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Taxonomy #6
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Taxonomy Code | 1744G0900X
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Taxonomy Name | Graphics Designer
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License Number |
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License Number State | CO
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Taxonomy #7
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Taxonomy Code | 225800000X
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Taxonomy Name | Recreation Therapist
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License Number |
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License Number State |
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