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NPI 1992901938

NPI 1992901938 : LAURA A GREENE FNP : AURORA, CO

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General NPI Number Information
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    NPI Number           |    1992901938
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    Entity Type          |    Individual 
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    Provider Name        |    LAURA A GREENE FNP
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    06/26/2007
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    Last Update Date     |    09/15/2015
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Provider Practice Location Address
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    Address Line         |    3025 S PARKER RD SUTIE 100
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    City                 |    AURORA
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    State                |    CO
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    Zip                  |    80014-2911
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    Country              |    US
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    Telephone            |    303-481-7030
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    Fax                  |    303-745-7665
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Provider Business Mailing Address
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    Address Line         |    500 ELDORADO BLVD SUITE 6250
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    City                 |    DENVER
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    State                |    CO
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    Zip                  |    80021-3408
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    Country              |    US
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    Telephone            |    303-425-8000
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    Fax                  |    303-272-0390
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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       |    5296
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    License Number State |    CO
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