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General NPI Number Information
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NPI Number | 1558112573
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Entity Type | Individual
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Provider Name | HEATHER A KIRBY PMHNP-BC
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Gender | Female
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Dates
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Enumeration Date | 03/28/2024
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Last Update Date | 02/13/2025
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Provider Practice Location Address
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Address Line | 10465 MELODY DR STE 226
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City | NORTHGLENN
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State | CO
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Zip | 80234-4120
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Country | US
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Telephone | 720-331-6899
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Fax | 855-650-8805
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Provider Business Mailing Address
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Address Line | 10465 MELODY DR STE 226
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City | NORTHGLENN
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State | CO
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Zip | 80234-4120
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Country | US
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Telephone | 720-331-6899
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Fax | 855-650-8805
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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 | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | 1617623
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License Number State | CO
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Taxonomy #2
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | APN.0999904-NP
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License Number State | CO
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