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General NPI Number Information
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NPI Number | 1831373265
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Entity Type | Individual
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Provider Name | KAMALA J BOLES RN,NP
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Gender | Female
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Dates
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Enumeration Date | 12/20/2007
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Last Update Date | 12/20/2007
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Provider Practice Location Address
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Address Line | 2240 E BUCHTEL BLVE
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City | DENVER
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State | CO
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Zip | 80208-0001
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Country | US
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Telephone | 303-871-2205
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Fax |
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Provider Business Mailing Address
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Address Line | 9243 ROADRUNNER DR
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City | HIGHLANDS RANCH
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State | CO
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Zip | 80129-5759
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Country | US
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Telephone | 303-791-9643
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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 | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | 112575
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License Number State | CO
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