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General NPI Number Information
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NPI Number | 1114178407
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Entity Type | Individual
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Provider Name | ZENA MALDONADO PA-C
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Gender | Female
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Dates
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Enumeration Date | 10/04/2008
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Last Update Date | 07/17/2023
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Provider Practice Location Address
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Address Line | 7700 S BROADWAY
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City | LITTLETON
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State | CO
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Zip | 80122-2602
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Country | US
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Telephone | 303-730-8900
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Fax |
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Provider Business Mailing Address
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Address Line | 680 CHERRY ST
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City | DENVER
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State | CO
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Zip | 80220-5016
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Country | US
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Telephone | 517-803-7889
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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 | 363AS0400X
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Taxonomy Name | Surgical Physician Assistant
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License Number | PA.0003349
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License Number State | CO
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Taxonomy #2
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Taxonomy Code | 363AS0400X
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Taxonomy Name | Surgical Physician Assistant
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License Number | 5601005422
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License Number State | MI
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