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General NPI Number Information
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NPI Number | 1558709394
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Entity Type | Individual
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Provider Name | MS. TRACY ANGELIA POLLARD-JOHNSON
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Gender | Female
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Dates
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Enumeration Date | 06/13/2013
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Last Update Date | 06/06/2025
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Provider Practice Location Address
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Address Line | 7800 SHOAL CREEK BLVD STE 118W
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City | AUSTIN
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State | TX
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Zip | 78757-1007
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Country | US
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Telephone | 512-407-8880
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Fax | 512-407-8681
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Provider Business Mailing Address
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Address Line | 4360 MONTEBELLO DR SUITE 900
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City | COLORADO SPRINGS
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State | CO
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Zip | 80918-7204
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Country | US
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Telephone | 719-388-1594
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | APN.0990531-NP
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License Number State | CO
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