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General NPI Number Information
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NPI Number | 1184678286
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Entity Type | Individual
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Provider Name | RHONDA DETERT JEFFRIES MD
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Gender | Female
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Dates
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Enumeration Date | 05/22/2006
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Last Update Date | 03/25/2016
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Provider Practice Location Address
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Address Line | 5600 S QUEBEC ST 312A
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City | GREENWOOD VILLAGE
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State | CO
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Zip | 80111-2207
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Country | US
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Telephone | 303-436-2727
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Fax | 303-426-2710
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Provider Business Mailing Address
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Address Line | PO BOX 3492
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City | FRISCO
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State | CT
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Zip | 80443
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Country | US
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Telephone | 678-938-3900
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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 | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number | DR.0054682
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License Number State | CO
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