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General NPI Number Information
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NPI Number | 1700683117
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Entity Type | Individual
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Provider Name | CARLIE HILDENBRAND FNP-C
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Gender | Female
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Dates
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Enumeration Date | 02/25/2025
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Last Update Date | 09/05/2025
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Provider Practice Location Address
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Address Line | 3676 PARKER BLVD STE 390
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City | PUEBLO
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State | CO
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Zip | 81008-2215
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Country | US
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Telephone | 719-595-7780
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Fax |
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Provider Business Mailing Address
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Address Line | 7520 LIBERTY BELL DR
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City | COLORADO SPRINGS
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State | CO
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Zip | 80920-4117
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Country | US
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Telephone | 720-448-6858
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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.1000557-NP
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License Number State | CO
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