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General NPI Number Information
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NPI Number | 1649934894
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Entity Type | Individual
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Provider Name | DARCY VICTORIA- FAYE HEIM FNP
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Gender | Female
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Dates
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Enumeration Date | 10/25/2021
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Last Update Date | 11/26/2024
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Provider Practice Location Address
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Address Line | 1301 E 7TH ST
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City | PUEBLO
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State | CO
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Zip | 81001-3508
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Country | US
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Telephone | 719-543-8711
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Fax | 719-543-0171
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Provider Business Mailing Address
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Address Line | 110 E ROUTT AVE
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City | PUEBLO
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State | CO
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Zip | 81004-2117
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Country | US
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Telephone | 719-543-8711
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Fax | 719-543-0171
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | APN.0997679-NP
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License Number State | CO
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Taxonomy #2
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Taxonomy Code | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | 03-230-0678
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License Number State | CO
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