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General NPI Number Information
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NPI Number | 1104702018
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Entity Type | Individual
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Provider Name | AMANDA MASCARENAS
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Gender | Female
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Dates
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Enumeration Date | 08/14/2025
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Last Update Date | 08/14/2025
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Provider Practice Location Address
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Address Line | 18730 E HAMPDEN AVE # 80013
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City | AURORA
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State | CO
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Zip | 80013-3534
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Country | US
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Telephone | 720-876-2245
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Fax | 720-876-2245
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Provider Business Mailing Address
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Address Line | 8450 HARRISON WAY
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City | DENVER
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State | CO
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Zip | 80229-4242
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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 | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 25323
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License Number State | CO
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