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General NPI Number Information
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NPI Number | 1932710365
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Entity Type | Individual
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Provider Name | SARAH STOCKHAM JOHNSON APRN
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Gender | Female
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Dates
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Enumeration Date | 08/10/2020
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Last Update Date | 08/10/2020
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Provider Practice Location Address
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Address Line | 8 W DRY CREEK CIR STE 207
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City | LITTLETON
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State | CO
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Zip | 80120-8082
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Country | US
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Telephone | 303-481-3489
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Fax |
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Provider Business Mailing Address
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Address Line | 3649 EVERGREEN PKWY # 1774
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City | EVERGREEN
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State | CO
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Zip | 80439-9998
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Country | US
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Telephone | 303-887-8966
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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 | APN.0995540-NP
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License Number State | CO
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