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General NPI Number Information
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NPI Number | 1548616758
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Entity Type | Individual
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Provider Name | ELIZABETH GERARDE CORCORAN FNP
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Gender | Female
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Dates
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Enumeration Date | 05/05/2016
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Last Update Date | 07/12/2018
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Provider Practice Location Address
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Address Line | 2535 S DOWNING ST STE 380
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City | DENVER
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State | CO
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Zip | 80210
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Country | US
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Telephone | 303-778-5797
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Fax | 303-778-5205
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Provider Business Mailing Address
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Address Line | 2535 S DOWNING ST STE 380
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City | DENVER
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State | CO
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Zip | 80210-5850
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Country | US
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Telephone | 303-778-5797
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Fax | 303-778-5205
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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 | 95004201
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License Number State | CA
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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.0993786-NP
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License Number State | CO
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