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General NPI Number Information
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NPI Number | 1144277369
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Entity Type | Individual
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Provider Name | MANOJ V PAWAR MD
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Gender | Male
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Dates
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Enumeration Date | 05/31/2006
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Last Update Date | 05/09/2023
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Provider Practice Location Address
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Address Line | 6578 ESMERALDA DR
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City | CASTLE ROCK
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State | CO
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Zip | 80108-9189
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Country | US
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Telephone | 303-596-9250
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Fax | 720-727-9355
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Provider Business Mailing Address
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Address Line | 6578 ESMERALDA DR
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City | CASTLE ROCK
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State | CO
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Zip | 80108-9189
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Country | US
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Telephone | 303-596-9250
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 33797
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License Number State | CO
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