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General NPI Number Information
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NPI Number | 1285235325
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Entity Type | Individual
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Provider Name | JEAN-PIERRE FODJOUO
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Gender | Male
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Dates
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Enumeration Date | 11/05/2020
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Last Update Date | 11/05/2020
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Provider Practice Location Address
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Address Line | 19391 E WYOMING AVE
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City | AURORA
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State | CO
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Zip | 80017-5552
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Country | US
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Telephone | 720-252-0802
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Fax |
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Provider Business Mailing Address
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Address Line | 19391 E WYOMING AVE
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City | AURORA
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State | CO
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Zip | 80017-5552
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Country | US
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Telephone | 720-252-0802
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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 | 347E00000X
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Taxonomy Name | Transportation Broker
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License Number |
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License Number State |
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