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General NPI Number Information
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NPI Number | 1972088334
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Entity Type | Individual
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Provider Name | HEIDI DANIELLE SIZEMORE NP
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Gender | Female
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Dates
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Enumeration Date | 10/01/2018
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Last Update Date | 02/08/2019
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Provider Practice Location Address
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Address Line | 1444 S POTOMAC ST STE 300
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City | AURORA
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State | CO
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Zip | 80012-4510
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Country | US
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Telephone | 303-750-0822
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Fax |
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Provider Business Mailing Address
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Address Line | 1747 S JASMINE ST
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City | DENVER
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State | CO
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Zip | 80224-2126
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Country | US
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Telephone | 325-280-1980
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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 | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | APN.0994054-NP
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License Number State | CO
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