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General NPI Number Information
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NPI Number | 1497194211
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Entity Type | Individual
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Provider Name | DUANDELYN CLAUDETTE WILSON NP
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Gender | Female
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Dates
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Enumeration Date | 06/15/2013
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Last Update Date | 12/20/2022
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Provider Practice Location Address
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Address Line | 499 E HAMPDEN AVE STE 380
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City | ENGLEWOOD
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State | CO
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Zip | 80113-3877
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Country | US
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Telephone | 720-493-3345
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Fax | 720-874-4437
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Provider Business Mailing Address
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Address Line | 10800 E GEDDES AVE STE 300
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City | ENGLEWOOD
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State | CO
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Zip | 80112-3895
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Country | US
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Telephone | 303-761-9190
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Fax | 720-874-4462
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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 | 363LN0000X
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Taxonomy Name | Neonatal Nurse Practitioner
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License Number | 0175186
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License Number State | CO
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Taxonomy #2
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | 0990859
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License Number State | CO
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Taxonomy #3
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | APN.0990859
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License Number State | CO
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