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General NPI Number Information
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NPI Number | 1538791454
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Entity Type | Individual
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Provider Name | CONNIE NGUYEN STORHOLT FNP-C
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Gender | Female
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Dates
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Enumeration Date | 02/08/2020
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Last Update Date | 02/08/2023
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Provider Practice Location Address
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Address Line | 1605 FOXTRAIL DR
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City | LOVELAND
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State | CO
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Zip | 80538-9360
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Country | US
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Telephone | 970-495-0506
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Fax | 970-495-0485
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Provider Business Mailing Address
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Address Line | 1605 FOXTRAIL DR
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City | LOVELAND
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State | CO
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Zip | 80538-9360
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Country | US
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Telephone | 970-495-0506
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Fax | 970-795-0485
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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 | F11190448
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License Number State | NC
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Taxonomy #2
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | APN.0998071
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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 | 5012857
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License Number State | NC
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