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General NPI Number Information
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NPI Number | 1629469143
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Entity Type | Individual
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Provider Name | SHEILA RICEWATKINS DVM
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Gender | Female
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Dates
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Enumeration Date | 02/06/2015
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Last Update Date | 02/06/2015
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Provider Practice Location Address
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Address Line | 32175 CASTLE CT
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City | EVERGREEN
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State | CO
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Zip | 80439-9585
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Country | US
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Telephone | 303-674-4331
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Fax | 303-670-1271
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Provider Business Mailing Address
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Address Line | 18 TAYLOR ST
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City | BAILEY
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State | CO
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Zip | 80421-1400
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Country | US
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Telephone |
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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 | 174M00000X
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Taxonomy Name | Veterinarian
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License Number | 7358
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License Number State | CO
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