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General NPI Number Information
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NPI Number | 1083709745
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Entity Type | Individual
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Provider Name | JACQUELINE STERN M.D.
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Gender | Female
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Dates
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Enumeration Date | 10/04/2006
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Last Update Date | 11/24/2015
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Provider Practice Location Address
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Address Line | 4545 E 9TH AVE SUITE 010
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City | DENVER
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State | CO
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Zip | 80220-3901
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Country | US
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Telephone | 303-584-7900
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Fax | 303-584-7960
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Provider Business Mailing Address
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Address Line | 10900 W 44TH AVE, SUITE #200
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City | WHEAT RIDGE
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State | CO
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Zip | 80033-2742
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Country | US
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Telephone | 303-379-9371
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Fax | 303-284-4082
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 26210
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License Number State | CO
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