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General NPI Number Information
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NPI Number | 1770609992
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Entity Type | Individual
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Provider Name | KIRA AVA HANSEN NP
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Gender | Female
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Dates
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Enumeration Date | 03/21/2007
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Last Update Date | 02/07/2025
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Provider Practice Location Address
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Address Line | 10099 RIDGEGATE PKWY CONIFER BUILDING, SUITE 430
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City | LONE TREE
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State | CO
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Zip | 80124-5531
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Country | US
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Telephone | 303-327-7300
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Fax | 303-327-7304
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Provider Business Mailing Address
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Address Line | 9269 CORNELL CIR STE 430
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City | HIGHLANDS RANCH
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State | CO
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Zip | 80130-4141
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Country | US
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Telephone | 303-887-9943
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Fax | 303-327-7304
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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 | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | APN.0994561-NP
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License Number State | CO
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Taxonomy #2
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Taxonomy Code | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | 111856
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License Number State | CO
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Taxonomy #3
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Taxonomy Code | 208600000X
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Taxonomy Name | Surgery Physician
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License Number | APN.0994561-NP
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License Number State | CO
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Taxonomy #4
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Taxonomy Code | 208D00000X
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Taxonomy Name | General Practice Physician
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License Number | APN.0994561-NP
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License Number State | CO
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