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General NPI Number Information
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NPI Number | 1861099319
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Entity Type | Individual
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Provider Name | TRACI MICHELLE ALVARADO FNP-BC
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Gender | Female
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Dates
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Enumeration Date | 10/07/2020
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Last Update Date | 06/12/2025
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Provider Practice Location Address
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Address Line | 1250 N WILSON AVE
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City | LOVELAND
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State | CO
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Zip | 80537-4461
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Country | US
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Telephone | 970-494-9789
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Fax | 970-353-5884
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Provider Business Mailing Address
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Address Line | 2930 11TH AVE
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City | EVANS
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State | CO
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Zip | 80620-1011
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Country | US
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Telephone |
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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 | 1629490
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License Number State | CO
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