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General NPI Number Information
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NPI Number | 1659291821
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Entity Type | Organization
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Legal Business Name | NEXTERA HEALTHCARE PLLC
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Dates
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Enumeration Date | 07/17/2026
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Last Update Date | 07/17/2026
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Provider Practice Location Address
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Address Line | 200 CORPORATE LAKE DR
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City | COLUMBIA
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State | MO
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Zip | 65203-7172
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Country | US
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Telephone | 573-814-1170
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Fax | 573-530-1037
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Provider Business Mailing Address
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Address Line | 205 S MAIN ST STE A
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City | LONGMONT
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State | CO
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Zip | 80501-1714
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Country | US
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Telephone | 303-501-2600
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Fax | 877-764-4622
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Authorized Official
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Title or Position | MEDICAL SUPPORT DIRECTOR
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Name | DANIELLE CULJAT
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Credential |
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Telephone | 303-501-2600
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP2300X
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Taxonomy Name | Primary Care Clinic/Center
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License Number |
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License Number State |
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