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General NPI Number Information
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NPI Number | 1609793538
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Entity Type | Individual
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Provider Name | CAROL ANN MCTAVISH RN
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Gender | Female
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Dates
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Enumeration Date | 07/01/2026
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Last Update Date | 07/01/2026
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Provider Practice Location Address
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Address Line | 8752 S YOSEMITE ST # 326
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City | LITTLETON
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State | CO
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Zip | 80124-2852
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Country | US
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Telephone | 720-656-9793
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Fax |
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Provider Business Mailing Address
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Address Line | 8752 S YOSEMITE ST # 326
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City | LITTLETON
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State | CO
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Zip | 80124-2852
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Country | US
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Telephone | 720-656-9793
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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 | 163WC0400X
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Taxonomy Name | Case Management Registered Nurse
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License Number | 067138
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License Number State | MO
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Taxonomy #2
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Taxonomy Code | 163WN0800X
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Taxonomy Name | Neuroscience Registered Nurse
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License Number | 067138
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License Number State | MO
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