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General NPI Number Information
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NPI Number | 1649356684
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Entity Type | Individual
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Provider Name | MARY CHRISTINE WOOLINGTON FNP
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Gender | Female
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Dates
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Enumeration Date | 10/31/2006
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Last Update Date | 06/10/2008
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Provider Practice Location Address
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Address Line | 200 W 136TH AVENUE
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City | WESTMINSTER
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State | CO
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Zip | 80234
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Country | US
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Telephone | 303-770-0507
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Fax | 303-770-0501
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Provider Business Mailing Address
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Address Line | 5299 DTC BLVD SUITE 800
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City | GREENWOOD VILLAGE
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State | CO
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Zip | 80111-3321
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Country | US
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Telephone | 303-770-0507
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Fax | 303-770-0501
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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 | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | 109668
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License Number State | CO
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