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General NPI Number Information
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NPI Number | 1578826863
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Entity Type | Individual
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Provider Name | SANDRA D EWER FNP
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Gender | Female
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Dates
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Enumeration Date | 06/21/2012
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Last Update Date | 09/12/2023
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Provider Practice Location Address
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Address Line | 1420 AUSTIN BLUFFS PKWY
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City | COLORADO SPRINGS
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State | CO
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Zip | 80918-3733
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Country | US
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Telephone | 719-255-4444
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Fax | 719-255-4446
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Provider Business Mailing Address
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Address Line | 1420 AUSTIN BLUFFS PKWY
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City | COLORADO SPRINGS
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State | CO
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Zip | 80918-3735
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Country | US
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Telephone | 719-255-4444
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Fax | 719-255-4446
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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 | CNP121045
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License Number State | ME
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Taxonomy #2
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Taxonomy Code | 363LX0001X
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Taxonomy Name | Obstetrics & Gynecology Nurse Practitioner
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License Number | CNP121045
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License Number State | ME
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Taxonomy #3
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | APN.0996125-NP
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License Number State | CO
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