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General NPI Number Information
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NPI Number | 1598201337
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Entity Type | Individual
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Provider Name | JOHN TRIPP RN
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Gender | Male
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Dates
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Enumeration Date | 01/18/2017
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Last Update Date | 09/26/2019
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Provider Practice Location Address
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Address Line | 14221 E 4TH AVE
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City | AURORA
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State | CO
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Zip | 80011
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Country | US
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Telephone | 720-507-4779
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Fax |
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Provider Business Mailing Address
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Address Line | 6703 W ROXBURY PL
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City | LITTLETON
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State | CO
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Zip | 80128-4558
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Country | US
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Telephone | 720-626-1104
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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 | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | 0995069
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License Number State | CO
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