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General NPI Number Information
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NPI Number | 1134115264
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Entity Type | Individual
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Provider Name | SUSAN E MIRANDA MD
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Gender | Female
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Dates
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Enumeration Date | 09/23/2005
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Last Update Date | 05/22/2025
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Provider Practice Location Address
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Address Line | 15530 E BRONCOS PKWY UNIT 180
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City | CENTENNIAL
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State | CO
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Zip | 80112-7111
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Country | US
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Telephone | 194-651-5797
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Fax | 719-280-6111
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Provider Business Mailing Address
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Address Line | 218 E CHEYENNE MOUNTAIN BLVD
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City | COLORADO SPRINGS
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State | CO
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Zip | 80906-3720
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Country | US
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Telephone | 719-465-1579
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Fax | 719-280-6111
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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.0061183
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License Number State | CO
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