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General NPI Number Information
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NPI Number | 1962014894
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Entity Type | Individual
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Provider Name | SPENCER WOOLEN AGPC-NP
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Gender | Female
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Dates
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Enumeration Date | 08/21/2020
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Last Update Date | 08/21/2020
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Provider Practice Location Address
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Address Line | 13111 E BRIARWOOD AVE STE 300
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City | CENTENNIAL
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State | CO
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Zip | 80112-3913
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Country | US
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Telephone | 303-671-0553
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Fax | 303-671-0332
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Provider Business Mailing Address
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Address Line | 3333 S WADSWORTH BLVD UNIT D100
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City | LAKEWOOD
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State | CO
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Zip | 80227-5117
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Country | US
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Telephone | 720-544-2064
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Fax | 303-347-3080
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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 | 363LG0600X
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Taxonomy Name | Gerontology Nurse Practitioner
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License Number | APN.0995800-NP
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License Number State | CO
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