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General NPI Number Information
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NPI Number | 1033723465
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Entity Type | Organization
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Legal Business Name | INSPIRED DERMATOLOGY, PLLC
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Dates
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Enumeration Date | 09/02/2020
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Last Update Date | 04/22/2021
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Provider Practice Location Address
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Address Line | 6050 GREENWOOD PLAZA BLVD STE 130
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City | GREENWOOD VILLAGE
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State | CO
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Zip | 80111-4823
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Country | US
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Telephone | 720-706-7500
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Fax |
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Provider Business Mailing Address
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Address Line | 6050 GREENWOOD PLAZA BLVD STE 130
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City | GREENWOOD VILLAGE
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State | CO
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Zip | 80111-4823
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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 | OWNER
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Name | DR. JONATHAN EVERETT MAYER
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Credential | MD
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Telephone | 720-706-7500
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207N00000X
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Taxonomy Name | Dermatology Physician
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License Number |
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License Number State |
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