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NPI 1134186646

NPI 1134186646 : MICHAEL JUDE METROS MD : DENVER, CO

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General NPI Number Information
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    NPI Number           |    1134186646
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    Entity Type          |    Individual 
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    Provider Name        |    MICHAEL JUDE METROS MD
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    04/27/2006
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    Last Update Date     |    02/15/2024
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Provider Practice Location Address
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    Address Line         |    4500 E 9TH AVE STE 330 
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    City                 |    DENVER
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    State                |    CO
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    Zip                  |    80220-3930
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    Country              |    US
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    Telephone            |    303-388-4076
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    Fax                  |    303-320-0439
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Provider Business Mailing Address
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    Address Line         |    1707 COLE BLVD STE #100
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    City                 |    GOLDEN
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    State                |    CO
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    Zip                  |    80401
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    Country              |    US
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    Telephone            |    303-716-8013
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    Fax                  |    303-763-5495
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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        |    174400000X
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    Taxonomy Name        |    Specialist
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    License Number       |    31936
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    License Number State |    CO
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Taxonomy #2
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    Taxonomy Code        |    207R00000X
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    Taxonomy Name        |    Internal Medicine Physician
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    License Number       |    31936
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    License Number State |    CO
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