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General NPI Number Information
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NPI Number | 1265186225
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Entity Type | Individual
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Provider Name | SADA OSMAN SHAMI
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Gender | Female
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Dates
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Enumeration Date | 02/09/2022
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Last Update Date | 02/09/2022
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Provider Practice Location Address
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Address Line | 16251 E COLFAX AVE STE 101
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City | AURORA
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State | CO
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Zip | 80011-5848
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Country | US
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Telephone | 303-699-3458
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Fax |
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Provider Business Mailing Address
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Address Line | 17567 E DICKENSON PL
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City | AURORA
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State | CO
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Zip | 80013-4181
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Country | US
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Telephone | 720-412-9214
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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 | 261QA0600X
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Taxonomy Name | Adult Day Care Clinic/Center
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License Number |
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License Number State | CO
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