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General NPI Number Information
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NPI Number | 1568962116
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Entity Type | Individual
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Provider Name | KERI A MUNYAN NP
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Gender | Female
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Dates
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Enumeration Date | 02/20/2018
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Last Update Date | 11/25/2022
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Provider Practice Location Address
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Address Line | 1370 INTERQUEST PARKWAY SUITE 210
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City | COLORADO SPRINGS
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State | CO
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Zip | 80920-8092
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Country | US
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Telephone | 719-364-1650
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Fax | 719-364-1651
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Provider Business Mailing Address
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Address Line | 2695 ROCKY MOUNTAIN AVE
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City | LOVELAND
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State | CO
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Zip | 80538-8702
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Country | US
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Telephone | 970-624-2420
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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 | 0993691-NP
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License Number State | CO
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