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General NPI Number Information
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NPI Number | 1700549375
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Entity Type | Individual
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Provider Name | ANGELA GRAHAM MSN, APRN, PMHNP-BC
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Gender | Female
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Dates
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Enumeration Date | 10/20/2021
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Last Update Date | 12/11/2023
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Provider Practice Location Address
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Address Line | 6400 S FIDDLERS GREEN CIR STE 300
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City | GREENWOOD VILLAGE
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State | CO
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Zip | 80111-4950
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Country | US
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Telephone | 720-776-2330
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Fax |
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Provider Business Mailing Address
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Address Line | 12526 TAPADERO WAY
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City | CASTLE PINES
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State | CO
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Zip | 80108-8135
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Country | US
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Telephone | 303-596-6551
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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 | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | APN.0997032-NP
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License Number State | CO
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