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NPI 1104315191

NPI 1104315191 : CARA RABIN DO : CENTENNIAL, CO

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General NPI Number Information
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    NPI Number           |    1104315191
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    Entity Type          |    Individual 
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    Provider Name        |    CARA RABIN DO
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    05/04/2018
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    Last Update Date     |    09/24/2021
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Provider Practice Location Address
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    Address Line         |    7960 S UNIVERSITY BLVD 
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    City                 |    CENTENNIAL
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    State                |    CO
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    Zip                  |    80122-3166
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    Country              |    US
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    Telephone            |    720-848-0000
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    PO BOX 110429 
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    City                 |    AURORA
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    State                |    CO
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    Zip                  |    80042-0429
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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    |    
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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       |    DR.0066878
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    License Number State |    CO
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