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General NPI Number Information
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NPI Number | 1982958203
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Entity Type | Individual
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Provider Name | KELLY ANNE FAUSEY PNP
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Gender | Female
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Dates
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Enumeration Date | 11/08/2012
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Last Update Date | 08/15/2025
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Provider Practice Location Address
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Address Line | 270 S 8TH AVE
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City | BRIGHTON
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State | CO
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Zip | 80601-2132
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Country | US
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Telephone | 303-655-8924
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Fax | 303-200-7399
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Provider Business Mailing Address
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Address Line | 183 S 18TH AVE
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City | BRIGHTON
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State | CO
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Zip | 80601-2472
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Country | US
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Telephone | 303-659-4248
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Fax | 303-659-4283
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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 | 363LP0200X
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Taxonomy Name | Pediatric Nurse Practitioner
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License Number | C-ANP.0000306-C-NP
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License Number State | CO
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Taxonomy #2
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Taxonomy Code | 363LP0200X
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Taxonomy Name | Pediatric Nurse Practitioner
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License Number | 0000306
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License Number State | CO
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