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General NPI Number Information
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NPI Number | 1770455123
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Entity Type | Individual
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Provider Name | JOANNE KING PMHNP
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Gender | Female
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Dates
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Enumeration Date | 09/23/2025
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Last Update Date | 09/23/2025
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Provider Practice Location Address
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Address Line | 350 INTERLOCKEN BLVD STE 250
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City | BROOMFIELD
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State | CO
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Zip | 80021-8017
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Country | US
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Telephone | 720-724-3668
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Fax |
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Provider Business Mailing Address
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Address Line | 845 OWL DR
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City | LOUISVILLE
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State | CO
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Zip | 80027-2731
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Country | US
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Telephone | 831-915-9856
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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 | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | APN.1001049-NP
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License Number State | CO
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