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General NPI Number Information
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NPI Number | 1154796886
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Entity Type | Individual
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Provider Name | JEFFERY ZIMMERMAN CRNA
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Gender | Male
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Dates
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Enumeration Date | 12/07/2015
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Last Update Date | 12/11/2024
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Provider Practice Location Address
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Address Line | 9101 KIMMER DR STE 1000
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City | LONE TREE
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State | CO
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Zip | 80124-8454
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Country | US
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Telephone | 303-388-4461
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Fax | 720-639-8946
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Provider Business Mailing Address
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Address Line | 9101 KIMMER DR STE 1000
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City | LONE TREE
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State | CO
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Zip | 80124-8454
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Country | US
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Telephone | 303-388-4461
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Fax | 720-639-8946
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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 | 367500000X
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Taxonomy Name | Certified Registered Nurse Anesthetist
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License Number | APN.0993027-CRNA
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License Number State | CO
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Taxonomy #2
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Taxonomy Code | 367500000X
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Taxonomy Name | Certified Registered Nurse Anesthetist
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License Number | 209014078
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License Number State | IL
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