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General NPI Number Information
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NPI Number | 1255322319
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Entity Type | Individual
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Provider Name | PAIGE L. NEIFERT M.D.
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Gender | Female
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Dates
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Enumeration Date | 10/28/2005
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Last Update Date | 03/01/2020
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Provider Practice Location Address
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Address Line | 2405 RESEARCH PKWY
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City | COLORADO SPRINGS
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State | CO
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Zip | 80920-1044
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Country | US
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Telephone | 719-228-0400
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Fax | 719-268-2827
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Provider Business Mailing Address
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Address Line | 2 SOUTH CASCADE AVENUE SUITE 140
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City | COLORADO SPRINGS
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State | CO
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Zip | 80903-1604
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Country | US
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Telephone | 719-538-2900
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Fax | 719-538-2961
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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 | 207N00000X
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Taxonomy Name | Dermatology Physician
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License Number | A36171
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 207N00000X
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Taxonomy Name | Dermatology Physician
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License Number | DR0054452
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License Number State | CO
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