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General NPI Number Information
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NPI Number | 1942885009
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Entity Type | Individual
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Provider Name | ALYSSA MARIE LANTIERE WHNP-BC
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Gender | Female
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Dates
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Enumeration Date | 03/10/2021
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Last Update Date | 03/10/2021
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Provider Practice Location Address
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Address Line | 225 S UNION BLVD
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City | COLORADO SPRINGS
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State | CO
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Zip | 80910-3184
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Country | US
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Telephone | 719-632-5700
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Fax |
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Provider Business Mailing Address
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Address Line | 1634 W AINSWORTH DR
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City | ANTHEM
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State | AZ
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Zip | 85086-2957
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Country | US
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Telephone | 585-490-9392
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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 | 363LW0102X
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Taxonomy Name | Women's Health Nurse Practitioner
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License Number | C-APN.0002775-C-NP
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License Number State | CO
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