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General NPI Number Information
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NPI Number | 1598853293
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Entity Type | Individual
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Provider Name | GENNIFER GIUSTINA RN CPNP
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Gender | Female
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Dates
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Enumeration Date | 10/10/2006
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Last Update Date | 07/09/2007
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Provider Practice Location Address
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Address Line | 4200 E 9TH AVE BOX C 2885 ROOM 1503
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City | DENVER
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State | CO
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Zip | 80262-0001
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Country | US
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Telephone | 303-315-5213
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Fax |
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Provider Business Mailing Address
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Address Line | 13624 N TRAVOIS TRL
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City | PARKER
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State | CO
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Zip | 80138-8617
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Country | US
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Telephone | 303-841-0158
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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 | 363LP0200X
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Taxonomy Name | Pediatric Nurse Practitioner
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License Number | 57477
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License Number State | CO
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