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General NPI Number Information
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NPI Number | 1497207336
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Entity Type | Individual
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Provider Name | APRIL CRUICKSHANK
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Gender | Female
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Dates
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Enumeration Date | 10/26/2016
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Last Update Date | 12/11/2024
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Provider Practice Location Address
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Address Line | 2920 N CASCADE AVE STE 300
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City | COLORADO SPRINGS
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State | CO
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Zip | 80907-6262
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Country | US
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Telephone | 719-636-1201
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Fax | 719-636-1326
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Provider Business Mailing Address
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Address Line | 2920 N CASCADE AVE STE 300
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City | COLORADO SPRINGS
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State | CO
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Zip | 80907-6262
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Country | US
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Telephone | 719-636-1201
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Fax | 719-636-1326
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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 | 133V00000X
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Taxonomy Name | Registered Dietitian
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 363AM0700X
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Taxonomy Name | Medical Physician Assistant
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License Number | PA.0008042
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License Number State | CO
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