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General NPI Number Information
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NPI Number | 1578941373
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Entity Type | Individual
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Provider Name | ALYSE POWER MD
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Gender | Female
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Dates
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Enumeration Date | 05/12/2015
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Last Update Date | 08/31/2022
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Provider Practice Location Address
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Address Line | 5377 MANHATTAN CIR STE 103
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City | BOULDER
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State | CO
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Zip | 80303-4344
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Country | US
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Telephone | 720-273-3568
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Fax |
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Provider Business Mailing Address
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Address Line | 5377 MANHATTAN CIR STE 103
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City | BOULDER
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State | CO
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Zip | 80303-4344
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Country | US
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Telephone | 720-273-3568
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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 | 208M00000X
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Taxonomy Name | Hospitalist Physician
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License Number | 0001140
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License Number State | CO
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Taxonomy #2
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 100836
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License Number State | AK
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