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NPI 1144617846

NPI 1144617846 : SUJATA PUTATUNDA MD : LONE TREE, CO

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General NPI Number Information
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    NPI Number           |    1144617846
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    Entity Type          |    Individual 
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    Provider Name        |    SUJATA PUTATUNDA MD
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    04/20/2015
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    Last Update Date     |    02/02/2026
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Provider Practice Location Address
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    Address Line         |    8080 PARK MEADOWS DR 
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    City                 |    LONE TREE
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    State                |    CO
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    Zip                  |    80124-2557
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    Country              |    US
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    Telephone            |    720-516-0621
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    PO BOX 110429 
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    City                 |    AURORA
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    State                |    CO
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    Zip                  |    80042-0429
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    Country              |    US
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    Telephone            |    
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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        |    207R00000X
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    Taxonomy Name        |    Internal Medicine Physician
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    License Number       |    4301107972
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    License Number State |    MI
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Taxonomy #2
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    Taxonomy Code        |    208M00000X
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    Taxonomy Name        |    Hospitalist Physician
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    License Number       |    4301107972
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    License Number State |    MI
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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       |    DR.0076253
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    License Number State |    CO
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