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General NPI Number Information
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NPI Number | 1679137830
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Entity Type | Individual
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Provider Name | KELSI ELISE NASH FNP-C
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Gender | Female
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Dates
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Enumeration Date | 04/23/2019
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Last Update Date | 07/12/2019
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Provider Practice Location Address
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Address Line | 7761 SHAFFER PKWY STE 225
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City | LITTLETON
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State | CO
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Zip | 80127-3729
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Country | US
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Telephone | 303-862-1504
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Fax | 303-933-9431
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Provider Business Mailing Address
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Address Line | 8813 W STAR AVE
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City | LITTLETON
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State | CO
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Zip | 80128-7124
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Country | US
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Telephone | 970-812-7910
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Fax |
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | APN.0994626-NP
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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 | APN0994626-NP
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License Number State | CO
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