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General NPI Number Information
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NPI Number | 1982435210
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Entity Type | Individual
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Provider Name | DANIELA WALTERS FNP
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Gender | Female
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Dates
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Enumeration Date | 08/08/2024
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Last Update Date | 08/08/2024
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Provider Practice Location Address
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Address Line | 2240 BLAKE ST STE 101
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City | DENVER
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State | CO
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Zip | 80205-2058
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Country | US
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Telephone | 866-628-7828
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Fax |
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Provider Business Mailing Address
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Address Line | 1600 GLENARM PL APT 1004
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City | DENVER
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State | CO
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Zip | 80202-4315
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Country | US
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Telephone | 978-844-1208
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | APN.0999962-NP
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License Number State | CO
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