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General NPI Number Information
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NPI Number | 1598049629
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Entity Type | Individual
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Provider Name | ROBERTA-LYN KURRONEN NNP-BC
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Gender | Female
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Dates
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Enumeration Date | 10/07/2011
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Last Update Date | 11/25/2015
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Provider Practice Location Address
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Address Line | 1301 CONCORD TER
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City | SUNRISE
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State | FL
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Zip | 33323-2843
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Country | US
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Telephone | 800-243-3839
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Fax |
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Provider Business Mailing Address
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Address Line | 6492 S TAFT WAY
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City | LITTLETON
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State | CO
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Zip | 80127-4842
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Country | US
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Telephone | 503-702-1020
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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 | 363LN0000X
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Taxonomy Name | Neonatal Nurse Practitioner
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License Number | 0991591
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License Number State | CO
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