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General NPI Number Information
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NPI Number | 1134446461
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Entity Type | Individual
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Provider Name | MABEL A MARDONES M.D.
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Gender | Female
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Dates
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Enumeration Date | 04/26/2010
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Last Update Date | 02/17/2025
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Provider Practice Location Address
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Address Line | 4700 HALE PKWY STE 400
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City | DENVER
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State | CO
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Zip | 80220-4051
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Country | US
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Telephone | 33-210-3023
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Fax | 303-321-9296
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Provider Business Mailing Address
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Address Line | 7951 E MAPLEWOOD AVE STE 350
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City | GREENWOOD VILLAGE
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State | CO
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Zip | 80111-4758
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Country | US
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Telephone | 303-930-7895
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Fax | 832-601-6018
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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 | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | P8274
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 207RH0003X
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Taxonomy Name | Hematology & Oncology Physician
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License Number | P8274
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License Number State | TX
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Taxonomy #3
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Taxonomy Code | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 207RH0003X
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Taxonomy Name | Hematology & Oncology Physician
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License Number | DR.0060709
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License Number State | CO
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