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General NPI Number Information
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NPI Number | 1811840341
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Entity Type | Individual
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Provider Name | KEGAN GODBEY RN
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Gender | Male
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Dates
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Enumeration Date | 02/16/2026
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Last Update Date | 02/16/2026
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Provider Practice Location Address
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Address Line | 12223 PINE BLUFFS WAY
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City | PARKER
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State | CO
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Zip | 80134-4428
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Country | US
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Telephone | 720-347-6100
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Fax |
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Provider Business Mailing Address
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Address Line | 779 BRAMBLEBERRY HTS
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City | COLORADO SPRINGS
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State | CO
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Zip | 80921-3884
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Country | US
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Telephone | 505-385-6392
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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 | 163WE0003X
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Taxonomy Name | Emergency Registered Nurse
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License Number | RN.1672052
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License Number State | CO
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