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General NPI Number Information
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NPI Number | 1578409736
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Entity Type | Organization
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Legal Business Name | CORE CONSCIOUSNESS PLLC
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Dates
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Enumeration Date | 04/28/2026
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Last Update Date | 04/28/2026
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Provider Practice Location Address
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Address Line | 1705 61ST AVE STE G
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City | GREELEY
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State | CO
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Zip | 80634-8164
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Country | US
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Telephone | 970-590-9040
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Fax |
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Provider Business Mailing Address
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Address Line | 6600 W 20TH ST UNIT 44
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City | GREELEY
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State | CO
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Zip | 80634-9688
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Country | US
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Telephone | 970-590-9040
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | KRISTI L OGREN
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Credential |
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Telephone | 970-590-9040
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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 |
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License Number State |
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