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General NPI Number Information
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NPI Number | 1598957045
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Entity Type | Individual
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Provider Name | KATHLEEN MARY POOL PNP
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Gender | Female
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Dates
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Enumeration Date | 08/17/2007
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Last Update Date | 12/28/2022
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Provider Practice Location Address
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Address Line | 1056 E 19TH AVE
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City | DENVER
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State | CO
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Zip | 80218-1007
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Country | US
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Telephone | 303-861-6740
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Fax | 303-837-2831
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Provider Business Mailing Address
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Address Line | PO BOX 110429
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City | AURORA
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State | CO
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Zip | 80042-0429
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Country | US
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Telephone | 303-493-7000
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Fax | 720-777-7227
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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 | 97524
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License Number State | CO
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