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General NPI Number Information
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NPI Number | 1558021592
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Entity Type | Individual
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Provider Name | COLLEEN MARIE LOPEZ NP
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Gender | Female
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Dates
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Enumeration Date | 12/17/2021
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Last Update Date | 03/01/2025
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Provider Practice Location Address
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Address Line | 4704 HARLAN ST STE 340
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City | DENVER
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State | CO
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Zip | 80212-7418
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Country | US
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Telephone | 303-720-1845
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Fax |
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Provider Business Mailing Address
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Address Line | 7490 E COLUMBIA PL
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City | DENVER
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State | CO
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Zip | 80231-4132
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Country | US
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Telephone | 813-447-0642
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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 | 1000542
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License Number State | CO
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Taxonomy #2
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Taxonomy Code | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | 1672574
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License Number State | CO
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