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General NPI Number Information
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NPI Number | 1598809386
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Entity Type | Individual
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Provider Name | WENDELYNN G YOUNGQUIST RN
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Gender | Female
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Dates
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Enumeration Date | 02/16/2007
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Last Update Date | 04/14/2008
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Provider Practice Location Address
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Address Line | 1670 BROADWAY
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City | DENVER
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State | CO
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Zip | 80202-3004
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Country | US
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Telephone | 303-607-2572
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Fax |
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Provider Business Mailing Address
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Address Line | 4839 S RICHFIELD CIR
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City | AURORA
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State | CO
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Zip | 80015-1839
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Country | US
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Telephone | 303-680-7734
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 57002
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License Number State | CO
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