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General NPI Number Information
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NPI Number | 1740545227
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Entity Type | Individual
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Provider Name | VANNA KAY IRVING MD
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Gender | Female
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Dates
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Enumeration Date | 07/10/2012
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Last Update Date | 02/16/2021
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Provider Practice Location Address
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Address Line | 550 W HWY 50
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City | SALIDA
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State | CO
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Zip | 81201-2238
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Country | US
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Telephone | 719-530-2022
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Fax | 719-539-2375
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Provider Business Mailing Address
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Address Line | 550 W HWY 50
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City | SALIDA
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State | CO
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Zip | 81201-2238
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Country | US
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Telephone | 195-302-0227
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Fax | 719-539-2375
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 2015-01300
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License Number State | NC
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Taxonomy #2
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Taxonomy Code | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number |
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License Number State |
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