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General NPI Number Information
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NPI Number | 1932715547
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Entity Type | Individual
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Provider Name | MAURA ANN DORAN-SNYDER FNP-C
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Gender | Female
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Dates
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Enumeration Date | 09/18/2020
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Last Update Date | 10/29/2024
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Provider Practice Location Address
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Address Line | 700 TENACITY DR UNIT 102
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City | LONGMONT
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State | CO
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Zip | 80504-8487
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Country | US
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Telephone | 720-680-0018
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Fax | 720-680-0019
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Provider Business Mailing Address
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Address Line | 700 TENACITY DR UNIT 102
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City | LONGMONT
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State | CO
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Zip | 80504-8487
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Country | US
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Telephone | 720-680-0018
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Fax | 720-680-0019
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | APN00996314-NP
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License Number State | CO
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