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General NPI Number Information
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NPI Number | 1780220111
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Entity Type | Individual
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Provider Name | CAROLYN DINSDALE PRATHER MSN, APRN, FNP-BC
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Gender | Female
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Dates
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Enumeration Date | 11/20/2019
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Last Update Date | 08/15/2024
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Provider Practice Location Address
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Address Line | 6055 W 46TH AVE STE A
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City | WHEAT RIDGE
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State | CO
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Zip | 80033-1812
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Country | US
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Telephone | 303-423-8017
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Fax | 720-639-6894
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Provider Business Mailing Address
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Address Line | 6055 W 46TH AVE STE A
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City | WHEAT RIDGE
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State | CO
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Zip | 80033-1812
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Country | US
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Telephone | 303-423-8017
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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 | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | C-APN.0001813-C-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 | 2012020480
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License Number State | MO
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