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General NPI Number Information
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NPI Number | 1982223988
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Entity Type | Individual
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Provider Name | ERIN JEANELLE DRAKE MD
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Gender | Female
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Dates
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Enumeration Date | 04/10/2020
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Last Update Date | 12/04/2024
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Provider Practice Location Address
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Address Line | 9403 CROWN CREST BLVD STE 200
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City | PARKER
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State | CO
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Zip | 80138-8991
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Country | US
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Telephone | 303-724-2052
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Fax |
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Provider Business Mailing Address
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Address Line | 9403 CROWN CREST BLVD STE 200
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City | PARKER
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State | CO
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Zip | 80138-8991
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Country | US
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Telephone |
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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 | 207VG0400X
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Taxonomy Name | Gynecology Physician
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License Number | DR.0073549
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License Number State | CO
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Taxonomy #2
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Taxonomy Code | 207VX0000X
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Taxonomy Name | Obstetrics Physician
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License Number | DR.0073549
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License Number State | CO
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