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General NPI Number Information
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NPI Number | 1023927779
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Entity Type | Individual
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Provider Name | TIFINY PAULINE TRUJILLO
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Gender | Female
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Dates
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Enumeration Date | 09/07/2026
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Last Update Date | 09/07/2026
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Provider Practice Location Address
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Address Line | 11275 HIGHLINE DR
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City | NORTHGLENN
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State | CO
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Zip | 80233-3076
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Country | US
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Telephone | 303-287-7270
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Fax | 303-853-4778
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Provider Business Mailing Address
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Address Line | 1870 W 122ND AVE STE 100
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City | WESTMINSTER
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State | CO
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Zip | 80234-2075
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Country | US
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Telephone | 303-287-7270
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Fax | 303-853-4778
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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 | 175T00000X
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Taxonomy Name | Peer Specialist
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License Number |
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License Number State | CO
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