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General NPI Number Information
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NPI Number | 1922135995
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Entity Type | Individual
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Provider Name | MICHELLE L COLONNA
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Gender | Female
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Dates
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Enumeration Date | 02/27/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 16290 E QUINCY AVE
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City | AURORA
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State | CO
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Zip | 80015-1594
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Country | US
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Telephone | 303-743-5855
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Fax |
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Provider Business Mailing Address
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Address Line | 201 VERSAILLES ST
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City | BRIGHTON
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State | CO
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Zip | 80603-9759
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Country | US
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Telephone | 303-654-1006
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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 | 376K00000X
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Taxonomy Name | Nurse's Aide
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License Number |
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License Number State |
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