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General NPI Number Information
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NPI Number | 1669693404
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Entity Type | Individual
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Provider Name | JANA F FARAGHER FNP, DNP
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Gender | Female
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Dates
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Enumeration Date | 05/01/2007
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Last Update Date | 12/29/2021
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Provider Practice Location Address
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Address Line | 5 HILLCREST PLAZA WAY
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City | MONTROSE
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State | CO
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Zip | 81401-5876
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Country | US
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Telephone | 970-615-7223
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Fax | 970-615-7226
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Provider Business Mailing Address
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Address Line | 5 HILLCREST PLAZA WAY
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City | MONTROSE
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State | CO
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Zip | 81401-5876
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Country | US
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Telephone | 970-615-7223
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Fax | 970-615-7226
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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 | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | 161092
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License Number State | CO
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Taxonomy #2
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | RXN0101786NP
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License Number State | CO
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Taxonomy #3
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Taxonomy Code | 363LP2300X
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Taxonomy Name | Primary Care Nurse Practitioner
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License Number | 2014013731
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License Number State | CO
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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 | APN.0991611-NP
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License Number State | CO
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