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General NPI Number Information
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NPI Number | 1821316555
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Entity Type | Individual
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Provider Name | TORREY FLYNN DEMOSS PNP
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Gender | Female
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Dates
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Enumeration Date | 05/05/2010
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Last Update Date | 06/13/2019
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Provider Practice Location Address
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Address Line | 27429 BRANDON CIR
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City | STEAMBOAT SPRINGS
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State | CO
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Zip | 80487-8417
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Country | US
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Telephone | 970-440-3141
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Fax |
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Provider Business Mailing Address
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Address Line | 27429 BRANDON CIR
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City | STEAMBOAT SPRINGS
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State | CO
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Zip | 80487-8417
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Country | US
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Telephone | 858-472-1383
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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 | 363LP0200X
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Taxonomy Name | Pediatric Nurse Practitioner
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License Number | 10058
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License Number State | CO
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