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General NPI Number Information
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NPI Number | 1588932867
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Entity Type | Organization
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Legal Business Name | ART OF HEALTH DBA BOULDER INTEGRATIVE HEALTH
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Dates
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Enumeration Date | 12/01/2011
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Last Update Date | 12/01/2011
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Provider Practice Location Address
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Address Line | 2727 PINE ST SUITE 7
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City | BOULDER
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State | CO
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Zip | 80302-3824
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Country | US
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Telephone | 303-459-4875
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Fax | 303-323-6242
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Provider Business Mailing Address
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Address Line | 2727 PINE ST SUITE 7
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City | BOULDER
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State | CO
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Zip | 80302-3824
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Country | US
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Telephone | 303-459-4875
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Fax | 303-323-6242
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Authorized Official
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Title or Position | FAMILY NURSE PRACTITIONER
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Name | CARRIE LEE BALLAS
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Credential | NP
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Telephone | 303-459-4875
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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 | 5033
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License Number State | CO
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