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General NPI Number Information
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NPI Number | 1831157189
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Entity Type | Individual
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Provider Name | JANET ELLEN PRAGER FNP
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Gender | Female
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Dates
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Enumeration Date | 05/03/2006
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Last Update Date | 11/08/2007
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Provider Practice Location Address
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Address Line | DEPT #0861
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City | DENVER
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State | CO
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Zip | 80256-0001
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Country | US
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Telephone | 866-898-7136
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Fax | 616-975-9824
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Provider Business Mailing Address
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Address Line | 349 TROYER AVE
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City | PALISADE
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State | CO
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Zip | 81526-9749
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Country | US
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Telephone | 970-464-4924
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 89457
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License Number State | CO
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