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General NPI Number Information
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NPI Number | 1619520426
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Entity Type | Individual
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Provider Name | CALEY WEKENMANN
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Gender | Female
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Dates
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Enumeration Date | 07/21/2019
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Last Update Date | 09/25/2024
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Provider Practice Location Address
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Address Line | 275 PROMENADE DR UNIT 106
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City | SUPERIOR
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State | CO
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Zip | 80027-1782
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Country | US
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Telephone | 716-480-3106
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Fax |
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Provider Business Mailing Address
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Address Line | 2525 ARAPAHOE AVE UNIT E4
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City | BOULDER
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State | CO
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Zip | 80302-6746
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Country | US
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Telephone | 716-480-3106
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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 | F402760
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | APN.0998175-NP
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License Number State | CO
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