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General NPI Number Information
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NPI Number | 1992612097
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Entity Type | Individual
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Provider Name | NATHAN CLARK BORDER CRNA
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Gender | Male
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Dates
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Enumeration Date | 08/25/2026
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Last Update Date | 08/25/2026
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Provider Practice Location Address
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Address Line | 14300 ORCHARD PKWY
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City | WESTMINSTER
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State | CO
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Zip | 80023-9206
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Country | US
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Telephone | 720-627-0000
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Fax |
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Provider Business Mailing Address
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Address Line | 11255 JAMAICA ST
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City | COMMERCE CITY
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State | CO
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Zip | 80640-7659
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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 | 367500000X
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Taxonomy Name | Certified Registered Nurse Anesthetist
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License Number | APN.1002381-CRNA
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License Number State | CO
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