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General NPI Number Information
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NPI Number | 1912188699
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Entity Type | Individual
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Provider Name | DANA ANN MORRIS-BLAKE NP
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Gender | Female
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Dates
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Enumeration Date | 11/21/2007
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Last Update Date | 01/02/2025
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Provider Practice Location Address
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Address Line | 91 NEWARK ST UNIT D
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City | AURORA
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State | CO
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Zip | 80012-1629
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Country | US
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Telephone | 720-525-7997
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Fax | 888-384-7012
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Provider Business Mailing Address
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Address Line | PO BOX 202926
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City | DENVER
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State | CO
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Zip | 80220-8926
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Country | US
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Telephone | 720-277-9860
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Fax | 888-341-0822
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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 | 101Y00000X
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Taxonomy Name | Counselor
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License Number | NLC.0111278
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License Number State | CO
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Taxonomy #2
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | NP4933
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License Number State | CO
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