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General NPI Number Information
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NPI Number | 1922345248
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Entity Type | Individual
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Provider Name | RAVEN MELINA STARR MS, RN, AACNS-AG
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Gender | Female
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Dates
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Enumeration Date | 01/07/2013
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Last Update Date | 04/09/2019
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Provider Practice Location Address
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Address Line | 13199 E MONTVIEW BLVD SUITE 400
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City | AURORA
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State | CO
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Zip | 80045-7202
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Country | US
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Telephone | 303-724-8207
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Fax |
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Provider Business Mailing Address
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Address Line | 13199 E MONTVIEW BLVD SUITE 400
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City | AURORA
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State | CO
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Zip | 80045-7202
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Country | US
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Telephone | 303-724-8207
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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 | 163WC0200X
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Taxonomy Name | Critical Care Medicine Registered Nurse
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License Number | 0193214
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License Number State | CO
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Taxonomy #2
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Taxonomy Code | 163WH0200X
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Taxonomy Name | Home Health Registered Nurse
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License Number | 0193214
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License Number State | CO
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Taxonomy #3
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Taxonomy Code | 163WW0000X
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Taxonomy Name | Wound Care Registered Nurse
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License Number | 0193214
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License Number State | CO
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Taxonomy #4
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Taxonomy Code | 364SG0600X
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Taxonomy Name | Gerontology Clinical Nurse Specialist
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License Number | APN.0992674-CNS
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License Number State | CO
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