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General NPI Number Information
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NPI Number | 1669086633
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Entity Type | Individual
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Provider Name | GEORGE MICHAEL LOPEZ APRN
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Gender | Male
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Dates
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Enumeration Date | 09/07/2020
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Last Update Date | 02/19/2025
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Provider Practice Location Address
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Address Line | 11605 MERIDIAN MARKET VW STE 184
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City | FALCON
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State | CO
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Zip | 80831-8238
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Country | US
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Telephone | 719-364-9560
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Fax | 719-364-7680
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Provider Business Mailing Address
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Address Line | 2695 ROCKY MOUNTAIN AVE STE 150
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City | LOVELAND
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State | CO
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Zip | 80538-9071
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Country | US
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Telephone | 970-624-2417
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Fax | 970-490-4173
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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 | C-APN.0003667-C-NP
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License Number State | CO
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Taxonomy #2
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 28216042A
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License Number State | IN
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Taxonomy #3
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Taxonomy Code | 163WE0003X
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Taxonomy Name | Emergency Registered Nurse
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License Number | 28216024A
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License Number State | IN
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Taxonomy #4
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 71010392A
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License Number State | IN
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Taxonomy #5
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | APN.0999310-NP
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License Number State | CO
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