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General NPI Number Information
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NPI Number | 1114038403
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Entity Type | Individual
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Provider Name | MARK DEWITT TALMAGE M.D.
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Gender | Male
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Dates
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Enumeration Date | 08/31/2006
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Last Update Date | 07/25/2025
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Provider Practice Location Address
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Address Line | 23505 COUNTY ROAD Y
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City | VONA
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State | CO
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Zip | 80861
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Country | US
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Telephone | 303-877-7239
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Fax | 303-761-7316
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Provider Business Mailing Address
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Address Line | PO BOX 3728
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City | LITTLETON
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State | CO
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Zip | 80161-3728
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Country | US
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Telephone | 303-877-7239
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Fax | 866-271-0712
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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 | 207QA0505X
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Taxonomy Name | Adult Medicine Physician
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License Number | 27631
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License Number State | CO
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Taxonomy #2
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Taxonomy Code | 207QA0505X
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Taxonomy Name | Adult Medicine Physician
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License Number | MD25119
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License Number State | ME
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Taxonomy #3
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | DR.0027631
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License Number State | CO
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Taxonomy #4
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Taxonomy Code | 208M00000X
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Taxonomy Name | Hospitalist Physician
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License Number | DR.0027631
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License Number State | CO
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Taxonomy #5
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | DR.0027631
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License Number State | CO
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