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General NPI Number Information
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NPI Number | 1013258631
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Entity Type | Individual
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Provider Name | MATTHEW SODEN
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Gender | Male
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Dates
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Enumeration Date | 03/06/2013
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Last Update Date | 03/24/2025
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Provider Practice Location Address
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Address Line | 2851 S PARKER RD STE 1062
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City | AURORA
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State | CO
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Zip | 80014-2731
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Country | US
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Telephone | 720-593-6711
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Fax | 720-706-1393
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Provider Business Mailing Address
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Address Line | 2851 S PARKER RD STE 1062
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City | AURORA
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State | CO
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Zip | 80014-2731
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Country | US
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Telephone | 720-593-6711
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Fax | 720-706-1393
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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 | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | CDR.0001809
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License Number State | CO
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Taxonomy #2
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Taxonomy Code | 2084P0804X
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Taxonomy Name | Child & Adolescent Psychiatry Physician
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License Number | 5315234608
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License Number State | MI
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Taxonomy #3
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Taxonomy Code | 2084P0804X
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Taxonomy Name | Child & Adolescent Psychiatry Physician
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License Number | MD60479306
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License Number State | WA
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Taxonomy #4
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Taxonomy Code | 2084P0804X
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Taxonomy Name | Child & Adolescent Psychiatry Physician
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License Number | CDR.0001809
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License Number State | CO
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