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General NPI Number Information
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NPI Number | 1740348432
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Entity Type | Individual
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Provider Name | KATHERINE ATHERTON WOOD NP
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Gender | Female
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Dates
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Enumeration Date | 12/05/2006
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Last Update Date | 04/18/2025
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Provider Practice Location Address
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Address Line | 2594 TRAILRIDGE DR E
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City | LAFAYETTE
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State | CO
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Zip | 80026-3186
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Country | US
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Telephone | 393-449-7740
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Fax | 303-604-5391
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Provider Business Mailing Address
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Address Line | 3622 CLOVER CREEK LN
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City | LONGMONT
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State | CO
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Zip | 80503-6400
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Country | US
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Telephone | 303-587-5399
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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 | 126270
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License Number State | CO
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