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General NPI Number Information
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NPI Number | 1295982700
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Entity Type | Individual
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Provider Name | MATTHEW ALAN CLOSE D.O.
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Gender | Male
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Dates
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Enumeration Date | 08/26/2008
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Last Update Date | 01/16/2025
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Provider Practice Location Address
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Address Line | 6179 S BALSAM WAY STE 250
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City | LITTLETON
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State | CO
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Zip | 80123-3091
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Country | US
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Telephone | 720-603-8178
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Fax | 720-603-8179
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Provider Business Mailing Address
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Address Line | 6179 S BALSAM WAY STE 250
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City | LITTLETON
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State | CO
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Zip | 80123-3091
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Country | US
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Telephone | 720-603-8178
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Fax | 720-603-8179
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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 | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number | OS11396
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 207PS0010X
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Taxonomy Name | Sports Medicine (Emergency Medicine) Physician
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License Number | 1422
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License Number State | SC
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Taxonomy #3
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Taxonomy Code | 207PS0010X
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Taxonomy Name | Sports Medicine (Emergency Medicine) Physician
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License Number | DR.0057432
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License Number State | CO
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