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General NPI Number Information
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NPI Number | 1528038353
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Entity Type | Individual
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Provider Name | SALOME N AGBIM ND, CNS, APRN BC
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Gender | Female
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Dates
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Enumeration Date | 01/24/2006
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Last Update Date | 09/05/2012
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Provider Practice Location Address
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Address Line | 2400 S PEORIA ST 100
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City | AURORA
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State | CO
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Zip | 80014-5476
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Country | US
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Telephone | 303-306-4321
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Fax | 303-306-4347
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Provider Business Mailing Address
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Address Line | 2400 S PEORIA ST 100
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City | AURORA
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State | CO
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Zip | 80014-5476
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Country | US
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Telephone | 303-306-4321
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Fax | 303-306-4347
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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 | 364S00000X
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Taxonomy Name | Clinical Nurse Specialist
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License Number | 126175
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License Number State | CO
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