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General NPI Number Information
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NPI Number | 1750452207
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Entity Type | Individual
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Provider Name | DENA LEE RIDENOUR ARNP
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Gender | Female
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Dates
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Enumeration Date | 11/13/2006
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Last Update Date | 07/11/2025
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Provider Practice Location Address
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Address Line | 3346 ASH MESA RD
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City | DELTA
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State | CO
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Zip | 81416-8766
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Country | US
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Telephone | 970-874-7749
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Fax |
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Provider Business Mailing Address
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Address Line | 3346 ASH MESA RD
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City | DELTA
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State | CO
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Zip | 81416-8766
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Country | US
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Telephone | 970-874-7749
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Fax | 866-799-7523
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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 | 364SP0809X
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Taxonomy Name | Adult Psychiatric/Mental Health Clinical Nurse Specialist
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License Number | 0101420
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License Number State | CO
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Taxonomy #2
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Taxonomy Code | 364SP0809X
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Taxonomy Name | Adult Psychiatric/Mental Health Clinical Nurse Specialist
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License Number | 2356
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License Number State | CO
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Taxonomy #3
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Taxonomy Code | 163WP0809X
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Taxonomy Name | Adult Psychiatric/Mental Health Registered Nurse
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License Number | 116612
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License Number State | CO
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