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General NPI Number Information
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NPI Number | 1528151297
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Entity Type | Individual
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Provider Name | ANDREAS BRUEGGLER NP
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Gender | Male
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Dates
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Enumeration Date | 10/02/2006
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Last Update Date | 05/10/2024
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Provider Practice Location Address
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Address Line | 777 BANNOCK ST
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City | DENVER
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State | CO
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Zip | 80204-4507
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Country | US
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Telephone | 303-913-3750
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Fax |
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Provider Business Mailing Address
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Address Line | 10500 SMITH RD
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City | DENVER
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State | CO
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Zip | 80239-3232
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Country | US
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Telephone | 303-913-3750
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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 | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | 108672
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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 | 108672
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License Number State | CO
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