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General NPI Number Information
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NPI Number | 1912612805
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Entity Type | Individual
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Provider Name | AMBER MARIE STIRE PMHNP
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Gender | Female
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Dates
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Enumeration Date | 01/16/2023
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Last Update Date | 01/19/2023
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Provider Practice Location Address
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Address Line | 3500 CARLTON AVE UNIT Y55
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City | FORT COLLINS
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State | CO
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Zip | 80525-5719
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Country | US
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Telephone | 813-810-3020
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Fax |
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Provider Business Mailing Address
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Address Line | 3500 CARLTON AVE UNIT Y55
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City | FORT COLLINS
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State | CO
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Zip | 80525-5719
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Country | US
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Telephone | 813-810-3020
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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 | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | 0998376
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License Number State | CO
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Taxonomy #2
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | 1673770
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License Number State | CO
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