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General NPI Number Information
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NPI Number | 1740614585
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Entity Type | Individual
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Provider Name | BRENDA SASSEN MSN, APRN, FNP-C
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Gender | Female
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Dates
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Enumeration Date | 08/28/2013
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Last Update Date | 07/09/2015
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Provider Practice Location Address
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Address Line | 3333 S WADSWORTH BLVD UNIT D100
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City | LAKEWOOD
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State | CO
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Zip | 80227-5117
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Country | US
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Telephone | 303-205-1090
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Fax | 303-205-5534
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Provider Business Mailing Address
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Address Line | 5281 E 128TH WAY
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City | THORNTON
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State | CO
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Zip | 80241-2354
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Country | US
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Telephone | 720-935-5833
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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 | 990262
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License Number State | CO
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