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General NPI Number Information
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NPI Number | 1861298911
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Entity Type | Individual
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Provider Name | CALLA AILEEN MARIE LOPEZ NP
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Gender | Female
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Dates
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Enumeration Date | 02/20/2025
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Last Update Date | 05/16/2025
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Provider Practice Location Address
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Address Line | 4660 YOSEMITE ST STE 200
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City | DENVER
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State | CO
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Zip | 80238-4483
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Country | US
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Telephone | 303-860-5244
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Fax |
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Provider Business Mailing Address
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Address Line | 5445 DTC PKWY STE 1130
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City | GREENWOOD VILLAGE
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State | CO
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Zip | 80111-3038
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Country | US
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Telephone | 720-738-9774
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Fax | 720-817-8470
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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 | APN.1000582-NP
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License Number State | CO
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