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General NPI Number Information
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NPI Number | 1780082768
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Entity Type | Individual
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Provider Name | ASHLEY JO GARCIA NP
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Gender | Female
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Dates
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Enumeration Date | 12/08/2014
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Last Update Date | 12/20/2017
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Provider Practice Location Address
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Address Line | 2995 BASELINE RD STE 210
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City | BOULDER
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State | CO
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Zip | 80303-2318
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Country | US
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Telephone | 303-443-2544
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Fax | 303-443-6476
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Provider Business Mailing Address
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Address Line | 5450 WESTERN AVE
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City | BOULDER
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State | CO
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Zip | 80301-2709
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Country | US
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Telephone | 303-415-8900
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Fax | 303-443-6476
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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 | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | RN.0168183
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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 | APN.0991456-NP
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License Number State | CO
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