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General NPI Number Information
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NPI Number | 1235373721
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Entity Type | Individual
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Provider Name | EMILIYA AMINOVA PA-C
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Gender | Female
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Dates
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Enumeration Date | 04/28/2009
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Last Update Date | 02/09/2016
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Provider Practice Location Address
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Address Line | 2750 TOWER RD
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City | AURORA
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State | CO
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Zip | 80011-3501
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Country | US
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Telephone | 720-975-0540
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Fax | 720-975-0541
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Provider Business Mailing Address
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Address Line | 1125 S NOME ST
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City | AURORA
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State | CO
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Zip | 80012-4257
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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 | 363AM0700X
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Taxonomy Name | Medical Physician Assistant
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License Number | 2773
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License Number State | CO
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