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General NPI Number Information
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NPI Number | 1295634996
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Entity Type | Individual
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Provider Name | MARC ANTHONY VIGIL
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Gender | Male
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Dates
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Enumeration Date | 11/02/2026
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Last Update Date | 11/02/2026
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Provider Practice Location Address
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Address Line | 3100 S SHERIDAN BLVD
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City | DENVER
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State | CO
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Zip | 80227-5541
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Country | US
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Telephone | 303-937-4404
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Fax |
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Provider Business Mailing Address
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Address Line | 7391 W KENTUCKY DR APT C
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City | LAKEWOOD
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State | CO
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Zip | 80226-4947
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Country | US
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Telephone | 303-842-9252
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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 | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number | IN.0002010000
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License Number State | CO
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