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General NPI Number Information
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NPI Number | 1720671837
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Entity Type | Individual
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Provider Name | KATHERINE MULLIGAN APRN
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Gender | Female
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Dates
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Enumeration Date | 02/19/2021
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Last Update Date | 10/14/2024
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Provider Practice Location Address
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Address Line | 6895 E HAMPDEN AVE
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City | DENVER
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State | CO
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Zip | 80224-3047
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Country | US
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Telephone | 303-861-7878
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Fax | 303-894-8066
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Provider Business Mailing Address
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Address Line | 2215 US-64
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City | GUYMON
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State | OK
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Zip | 73942
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Country | US
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Telephone | 580-754-2280
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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 | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | 135496
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License Number State | KS
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Taxonomy #2
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 53-80402-102
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License Number State | KS
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