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General NPI Number Information
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NPI Number | 1225965163
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Entity Type | Individual
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Provider Name | JUSTIN PAUL SHERWOOD
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Gender | Male
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Dates
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Enumeration Date | 05/05/2026
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Last Update Date | 05/05/2026
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Provider Practice Location Address
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Address Line | 1860 N LINCOLN ST
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City | DENVER
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State | CO
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Zip | 80203-2996
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Country | US
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Telephone | 720-423-3200
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Fax |
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Provider Business Mailing Address
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Address Line | 28728 E 6TH PL
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City | WATKINS
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State | CO
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Zip | 80137-8985
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Country | US
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Telephone | 719-726-1638
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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 | 2255A2300X
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Taxonomy Name | Athletic Trainer
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License Number | AT.0002853
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License Number State | CO
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