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General NPI Number Information
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NPI Number | 1770261703
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Entity Type | Individual
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Provider Name | KATHRYN ANN RAYNER FNP
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Gender | Female
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Dates
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Enumeration Date | 07/10/2023
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Last Update Date | 07/10/2023
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Provider Practice Location Address
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Address Line | 12105 W ALAMEDA PKWY STE 100
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City | LAKEWOOD
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State | CO
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Zip | 80228-2832
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Country | US
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Telephone | 303-988-3600
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Fax |
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Provider Business Mailing Address
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Address Line | 7971 S ESTES ST
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City | LITTLETON
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State | CO
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Zip | 80128-8112
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Country | US
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Telephone | 781-492-4865
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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 | 0998809
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License Number State | CO
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