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General NPI Number Information
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NPI Number | 1700503257
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Entity Type | Individual
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Provider Name | ABIGAIL GRACE CASALNOVA CRNP
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Gender | Female
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Dates
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Enumeration Date | 10/25/2022
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Last Update Date | 01/08/2026
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Provider Practice Location Address
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Address Line | 2055 N HIGH ST STE 300
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City | DENVER
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State | CO
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Zip | 80205-5503
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Country | US
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Telephone | 303-226-7230
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Fax | 866-401-9731
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Provider Business Mailing Address
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Address Line | 1550 PLATTE ST APT A475
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City | DENVER
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State | CO
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Zip | 80202-6151
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Country | US
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Telephone | 724-372-4875
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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 | 363LP0200X
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Taxonomy Name | Pediatric Nurse Practitioner
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License Number | 58053
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License Number State | WY
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Taxonomy #2
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Taxonomy Code | 363LP0200X
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Taxonomy Name | Pediatric Nurse Practitioner
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License Number | 1679267
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License Number State | CO
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Taxonomy #3
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Taxonomy Code | 363LP0200X
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Taxonomy Name | Pediatric Nurse Practitioner
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License Number | SP026310
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License Number State | PA
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Taxonomy #4
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Taxonomy Code | 363LP0200X
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Taxonomy Name | Pediatric Nurse Practitioner
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License Number | 86830
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License Number State | NM
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