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General NPI Number Information
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NPI Number | 1679735344
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Entity Type | Individual
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Provider Name | KIMBERLY SUE KOPCHIK APN
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Gender | Female
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Dates
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Enumeration Date | 06/25/2008
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Last Update Date | 02/12/2024
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Provider Practice Location Address
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Address Line | 3989 E ARAPAHOE RD STE 110
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City | CENTENNIAL
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State | CO
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Zip | 80122-2077
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Country | US
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Telephone | 303-500-0230
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Fax | 303-500-0236
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Provider Business Mailing Address
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Address Line | 3989 E ARAPAHOE RD STE 110
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City | CENTENNIAL
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State | CO
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Zip | 80122-2077
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Country | US
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Telephone | 303-500-0230
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Fax | 303-500-0236
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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 | APN0993304-NP
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License Number State | CO
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