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General NPI Number Information
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NPI Number | 1962954172
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Entity Type | Individual
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Provider Name | MARGARET EILEEN REARDON APRN
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Gender | Female
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Dates
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Enumeration Date | 11/04/2016
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Last Update Date | 05/24/2021
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Provider Practice Location Address
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Address Line | 1230 TENDERFOOT HILL RD STE 255
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City | COLORADO SPRINGS
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State | CO
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Zip | 80906-7393
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Country | US
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Telephone | 719-694-9446
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Fax | 720-694-9436
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Provider Business Mailing Address
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Address Line | 15848 LONGMEADOW LN
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City | COLORADO SPRINGS
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State | CO
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Zip | 80921-3707
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Country | US
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Telephone | 913-526-9094
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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 | 225000000X
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Taxonomy Name | Orthotic Fitter
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License Number | APN.0002728-C-NP
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License Number State | CO
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Taxonomy #2
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Taxonomy Code | 363LA2100X
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Taxonomy Name | Acute Care Nurse Practitioner
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License Number | APN.0002728-C-NP
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License Number State | CO
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Taxonomy #3
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Taxonomy Code | 363LC0200X
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Taxonomy Name | Critical Care Medicine Nurse Practitioner
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License Number | AP132473
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License Number State | TX
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Taxonomy #4
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | APN.0002728-C-NP
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License Number State | CO
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Taxonomy #5
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | APN.0002728-C-NP
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License Number State | CO
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