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General NPI Number Information
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NPI Number | 1760770358
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Entity Type | Individual
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Provider Name | KANDICE NICHOLE EAKES FNP-C
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Gender | Female
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Dates
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Enumeration Date | 07/15/2011
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Last Update Date | 03/05/2025
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Provider Practice Location Address
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Address Line | 1120 WASHINGTON AVE
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City | GOLDEN
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State | CO
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Zip | 80401
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Country | US
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Telephone | 720-594-9574
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Fax |
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Provider Business Mailing Address
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Address Line | 1120 WASHINGTON AVE # 1101120
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City | GOLDEN
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State | CO
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Zip | 80401-1184
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Country | US
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Telephone | 720-594-9574
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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 | 0991733-C-NP
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License Number State | CO
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Taxonomy #2
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 744114
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License Number State | TX
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Taxonomy #3
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | 0991733-C-NP
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License Number State | CO
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