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General NPI Number Information
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NPI Number | 1245433259
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Entity Type | Individual
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Provider Name | MARK S DACEY MD
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Gender | Male
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Dates
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Enumeration Date | 06/07/2007
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Last Update Date | 03/18/2025
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Provider Practice Location Address
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Address Line | 425 S CHERRY ST STE 907
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City | DENVER
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State | CO
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Zip | 80246-1242
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Country | US
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Telephone | 208-266-4227
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Fax | 208-266-4237
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Provider Business Mailing Address
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Address Line | 425 S CHERRY ST STE 907
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City | DENVER
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State | CO
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Zip | 80246-1242
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Country | US
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Telephone | 208-266-4227
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Fax | 208-266-4237
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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 | 207WX0108X
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Taxonomy Name | Uveitis and Ocular Inflammatory Disease (Ophthalmology) Physician
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License Number | 49002
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License Number State | CO
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Taxonomy #2
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Taxonomy Code | 207W00000X
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Taxonomy Name | Ophthalmology Physician
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License Number | 49002
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License Number State | CO
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