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General NPI Number Information
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NPI Number | 1508298209
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Entity Type | Individual
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Provider Name | CARA SPENCER N. P.
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Gender | Female
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Dates
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Enumeration Date | 08/05/2013
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Last Update Date | 08/05/2013
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Provider Practice Location Address
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Address Line | 315 PARK AVE
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City | FORT LUPTON
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State | CO
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Zip | 80621-1929
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Country | US
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Telephone | 303-857-6111
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Fax |
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Provider Business Mailing Address
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Address Line | 1150 FLETCHER DR
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City | ERIE
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State | CO
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Zip | 80516-9071
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Country | US
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Telephone | 303-949-0830
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 91329
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License Number State | CO
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