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General NPI Number Information
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NPI Number | 1245036706
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Entity Type | Organization
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Legal Business Name | MARA T. MINASIAN, PLLC
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Dates
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Enumeration Date | 02/24/2025
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Last Update Date | 06/15/2025
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Provider Practice Location Address
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Address Line | 5335 W 48TH AVE STE 500
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City | DENVER
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State | CO
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Zip | 80212-2732
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Country | US
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Telephone | 720-254-1398
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Fax |
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Provider Business Mailing Address
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Address Line | 5335 W 48TH AVE STE 500
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City | DENVER
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State | CO
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Zip | 80212-2732
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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 | NURSE PRACTITIONER
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Name | MARA MINASIAN
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Credential | APRN
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Telephone | 720-254-1398
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number |
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License Number State |
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