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General NPI Number Information
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NPI Number | 1306618384
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Entity Type | Individual
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Provider Name | JOSE AMADOR FNP-BC
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Gender | Male
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Dates
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Enumeration Date | 10/24/2023
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Last Update Date | 10/24/2023
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Provider Practice Location Address
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Address Line | 9748 VENTURA ST
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City | COMMERCE CITY
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State | CO
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Zip | 80022-9018
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Country | US
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Telephone | 504-491-5036
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Fax |
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Provider Business Mailing Address
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Address Line | 9748 VENTURA ST
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City | COMMERCE CITY
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State | CO
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Zip | 80022-9018
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Country | US
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Telephone |
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | APN.0999255-NP
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License Number State | CO
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