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General NPI Number Information
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NPI Number | 1013677129
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Entity Type | Individual
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Provider Name | JAMIE MARTIN-PAVICICH FNP
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Gender | Female
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Dates
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Enumeration Date | 12/30/2021
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Last Update Date | 06/25/2025
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Provider Practice Location Address
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Address Line | 24300 E SMOKY HILL RD UNIT 120
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City | AURORA
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State | CO
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Zip | 80016-1387
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Country | US
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Telephone | 303-814-0505
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Fax | 303-814-6491
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Provider Business Mailing Address
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Address Line | 6984 W NICHOLS PL
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City | LITTLETON
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State | CO
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Zip | 80128-5689
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Country | US
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Telephone | 303-990-1831
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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.0997220-NP
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License Number State | CO
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