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General NPI Number Information
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NPI Number | 1790658383
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Entity Type | Organization
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Legal Business Name | COLORADO CHRISTIAN HEALTH
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Dates
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Enumeration Date | 09/29/2025
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Last Update Date | 09/29/2025
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Provider Practice Location Address
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Address Line | 955 PEACH LEAF LN
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City | ELIZABETH
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State | CO
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Zip | 80107-8653
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Country | US
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Telephone | 303-204-9910
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 369
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City | ELIZABETH
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State | CO
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Zip | 80107-0369
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Country | US
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Telephone | 303-204-9910
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Fax |
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Authorized Official
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Title or Position | DIRECTOR
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Name | HARRISON CHARLES LOWELL
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Credential | AGACNP
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Telephone | 303-204-9910
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 163WC1500X
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Taxonomy Name | Community Health Registered Nurse
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 163WD0400X
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Taxonomy Name | Diabetes Educator Registered Nurse
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 163WG0000X
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Taxonomy Name | General Practice Registered Nurse
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 163WG0600X
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Taxonomy Name | Gerontology Registered Nurse
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 163WI0500X
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Taxonomy Name | Infusion Therapy Registered Nurse
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License Number |
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License Number State |
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Taxonomy #6
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number |
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License Number State |
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