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General NPI Number Information
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NPI Number | 1841091790
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Entity Type | Individual
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Provider Name | ISABELLA GRACE SACKHEIM MS
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Gender | Female
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Dates
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Enumeration Date | 03/24/2025
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Last Update Date | 03/24/2025
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Provider Practice Location Address
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Address Line | 17601 S GOLDEN RD # B
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City | GOLDEN
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State | CO
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Zip | 80401-2666
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Country | US
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Telephone | 303-969-0884
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Fax |
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Provider Business Mailing Address
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Address Line | 4533 TENNYSON ST UNIT 2
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City | DENVER
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State | CO
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Zip | 80212-2579
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Country | US
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Telephone | 720-468-1791
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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 | 133N00000X
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Taxonomy Name | Nutritionist
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License Number |
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License Number State |
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