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General NPI Number Information
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NPI Number | 1730925421
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Entity Type | Individual
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Provider Name | ERICKA DAWN SOUTHWICK APN
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Gender | Female
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Dates
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Enumeration Date | 07/02/2024
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Last Update Date | 02/10/2026
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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 | 1100 CARSON AVE
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City | LA JUNTA
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State | CO
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Zip | 81050-2751
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Country | US
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Telephone | 719-384-5412
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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.0999916-NP
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License Number State | CO
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Taxonomy #2
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | APN.0999916-NP
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License Number State | CO
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