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General NPI Number Information
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NPI Number | 1134515380
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Entity Type | Individual
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Provider Name | JARRATT DANIEL PYTELL MD
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Gender | Male
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Dates
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Enumeration Date | 04/14/2015
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Last Update Date | 05/13/2024
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Provider Practice Location Address
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Address Line | 777 BANNOCK ST
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City | DENVER
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State | CO
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Zip | 80204-4507
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Country | US
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Telephone | 303-602-6333
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Fax | 303-436-4610
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Provider Business Mailing Address
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Address Line | 12631 E 17TH AVE
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City | AURORA
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State | CO
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Zip | 80045-2527
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Country | US
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Telephone | 303-564-9457
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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 | 207RA0401X
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Taxonomy Name | Addiction Medicine (Internal Medicine) Physician
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License Number | DR0068612
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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 | DR.0068612
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License Number State | CO
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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 | D82176
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License Number State | MD
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