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General NPI Number Information
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NPI Number | 1972180776
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Entity Type | Individual
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Provider Name | TALMAGE NIELSEN DO
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Gender | Male
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Dates
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Enumeration Date | 03/26/2021
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Last Update Date | 01/29/2026
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Provider Practice Location Address
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Address Line | 6071 E WOODMEN RD STE 200
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City | COLORADO SPRINGS
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State | CO
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Zip | 80923-2609
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Country | US
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Telephone | 719-212-2108
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Fax | 719-920-4016
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Provider Business Mailing Address
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Address Line | 6071 E WOODMEN RD STE 200
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City | COLORADO SPRINGS
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State | CO
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Zip | 80923-2609
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Country | US
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Telephone | 719-212-2108
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Fax | 719-920-4016
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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 | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | DR.0074992
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License Number State | CO
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Taxonomy #2
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | OS022804
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License Number State | PA
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Taxonomy #3
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | 14238134-1204
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License Number State | UT
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Taxonomy #4
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | W2105
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License Number State | TX
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