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General NPI Number Information
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NPI Number | 1790959898
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Entity Type | Individual
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Provider Name | CHERIE LYNN WORFORD MD
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Gender | Female
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Dates
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Enumeration Date | 04/18/2008
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Last Update Date | 09/17/2010
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Provider Practice Location Address
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Address Line | 350 W THOMAS RD ATTN ACADEMIC AFFAIRS
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City | PHOENIX
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State | AZ
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Zip | 85013-4409
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Country | US
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Telephone | 602-406-3538
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Fax |
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Provider Business Mailing Address
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Address Line | 1006 LUKE STREET
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City | FORT COLLINS
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State | CO
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Zip | 80524-6157
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Country | US
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Telephone | 970-419-1111
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Fax | 970-407-0001
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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 | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number | 81078
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License Number State | AZ
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Taxonomy #2
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Taxonomy Code | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number | 48564
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License Number State | CO
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