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General NPI Number Information
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NPI Number | 1720155021
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Entity Type | Individual
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Provider Name | DEBRA ANN ANSHUTZ N.P.
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Gender | Female
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Dates
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Enumeration Date | 11/29/2006
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Last Update Date | 07/16/2018
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Provider Practice Location Address
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Address Line | 1633 MEDICAL CENTER PT
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City | COLORADO SPRINGS
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State | CO
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Zip | 80907
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Country | US
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Telephone | 719-635-5148
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Fax | 719-570-0601
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Provider Business Mailing Address
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Address Line | 2 S CASCADE AVE STE 140
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City | COLORADO SPRINGS
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State | CO
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Zip | 80903-1604
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Country | US
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Telephone | 719-866-6568
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Fax | 719-538-2999
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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 | 363LA2200X
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Taxonomy Name | Adult Health Nurse Practitioner
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License Number | 86604
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License Number State | CO
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Taxonomy #2
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Taxonomy Code | 363LA2200X
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Taxonomy Name | Adult Health Nurse Practitioner
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License Number | APN.0002014-NP
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License Number State | CO
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