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General NPI Number Information
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NPI Number | 1225909773
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Entity Type | Organization
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Legal Business Name | CERES PHYSICIANS COLORADO PC
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Dates
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Enumeration Date | 09/17/2025
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Last Update Date | 09/17/2025
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Provider Practice Location Address
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Address Line | 1900 LAWRENCE ST
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City | DENVER
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State | CO
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Zip | 80202-2946
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Country | US
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Telephone | 415-964-5618
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Fax | 415-964-5619
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Provider Business Mailing Address
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Address Line | 1 DANIEL BURNHAM CT STE 110C
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City | SAN FRANCISCO
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State | CA
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Zip | 94109-0456
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Country | US
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Telephone | 415-964-5618
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Fax | 415-964-5619
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Authorized Official
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Title or Position | PARTNER
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Name | PETER CHARLES KLATSKY
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Credential | MD
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Telephone | 415-964-5618
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207VE0102X
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Taxonomy Name | Reproductive Endocrinology Physician
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License Number |
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License Number State |
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