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General NPI Number Information
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NPI Number | 1689727299
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Entity Type | Individual
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Provider Name | CHERYL MARIE JOHNSON CNS FNP-C
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Gender | Female
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Dates
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Enumeration Date | 01/18/2007
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Last Update Date | 07/21/2022
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Provider Practice Location Address
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Address Line | 2593 PARK LN
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City | LAFAYETTE
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State | CO
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Zip | 80026-3172
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Country | US
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Telephone | 303-718-2976
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Fax |
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Provider Business Mailing Address
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Address Line | 2228 TAMARRON LN
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City | LAFAYETTE
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State | CO
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Zip | 80026-9373
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Country | US
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Telephone | 33-601-9523
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 118657
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License Number State | CO
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