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General NPI Number Information
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NPI Number | 1699372318
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Entity Type | Individual
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Provider Name | STEPHANIE COWLEY-THOMPSON FNP-C
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Gender | Female
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Dates
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Enumeration Date | 10/06/2020
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Last Update Date | 10/06/2020
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Provider Practice Location Address
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Address Line | 13111 E BRIARWOOD AVE STE 105
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City | CENTENNIAL
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State | CO
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Zip | 80112-3925
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Country | US
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Telephone | 303-632-3640
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Fax |
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Provider Business Mailing Address
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Address Line | 17631 CORNISH PL
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City | PARKER
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State | CO
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Zip | 80134-7544
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Country | US
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Telephone | 813-951-5495
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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 | APN.0995368-NP
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License Number State | CO
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