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General NPI Number Information
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NPI Number | 1275620304
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Entity Type | Individual
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Provider Name | AUGUSTIN ATTWELL MD
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Gender | Male
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Dates
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Enumeration Date | 10/09/2006
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Last Update Date | 03/08/2021
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Provider Practice Location Address
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Address Line | 7000 W COLFAX AVE
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City | LAKEWOOD
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State | CO
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Zip | 80214-5433
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Country | US
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Telephone | 303-573-9951
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Fax |
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Provider Business Mailing Address
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Address Line | 3333 S WADSWORTH BLVD STE. D-100
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City | LAKEWOOD
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State | CO
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Zip | 80227-5122
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Country | US
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Telephone | 303-205-1090
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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 | 207RG0100X
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Taxonomy Name | Gastroenterology Physician
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License Number | 38975
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License Number State | CO
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