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General NPI Number Information
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NPI Number | 1831392943
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Entity Type | Individual
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Provider Name | SHAREEN AMINA DAHLIN-LOPEZ RN, CCM
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Gender | Female
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Dates
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Enumeration Date | 06/06/2007
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Last Update Date | 05/29/2008
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Provider Practice Location Address
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Address Line | 9787 HURTY AVE
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City | CONIFER
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State | CO
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Zip | 80433-9113
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Country | US
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Telephone | 303-838-9731
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Fax | 303-838-9731
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Provider Business Mailing Address
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Address Line | 9787 HURTY AVE
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City | CONIFER
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State | CO
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Zip | 80433-9113
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Country | US
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Telephone | 303-838-9731
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Fax | 303-838-9731
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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 | 163WC0400X
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Taxonomy Name | Case Management Registered Nurse
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License Number | 90155
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License Number State | CO
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Taxonomy #2
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Taxonomy Code | 163WH0200X
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Taxonomy Name | Home Health Registered Nurse
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License Number | 90155
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License Number State | CO
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Taxonomy #3
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Taxonomy Code | 163WM1400X
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Taxonomy Name | Nurse Massage Therapist (NMT)
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License Number | 90155
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License Number State | CO
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Taxonomy #4
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Taxonomy Code | 163WW0000X
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Taxonomy Name | Wound Care Registered Nurse
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License Number | 90155
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License Number State | CO
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Taxonomy #5
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Taxonomy Code | 171M00000X
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Taxonomy Name | Case Manager/Care Coordinator
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License Number | 90155
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License Number State | CO
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Taxonomy #6
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Taxonomy Code | 3747A0650X
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Taxonomy Name | Attendant Care Provider
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License Number | 90155
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License Number State | CO
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Taxonomy #7
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Taxonomy Code | 374U00000X
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Taxonomy Name | Home Health Aide
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License Number | 90155
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License Number State | CO
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