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General NPI Number Information
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NPI Number | 1316045701
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Entity Type | Individual
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Provider Name | ARISTIDES K MANIATIS MD
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Gender | Male
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Dates
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Enumeration Date | 09/20/2006
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Last Update Date | 08/09/2013
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Provider Practice Location Address
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Address Line | 7336 S YOSEMITE ST STE 200
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City | CENTENNIAL
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State | CO
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Zip | 80112-2340
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Country | US
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Telephone | 720-420-3636
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Fax | 720-420-3637
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Provider Business Mailing Address
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Address Line | 7336 S YOSEMITE ST STE 200
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City | CENTENNIAL
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State | CO
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Zip | 80112-2340
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Country | US
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Telephone | 720-420-3636
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Fax | 720-420-3637
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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 | 2080P0205X
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Taxonomy Name | Pediatric Endocrinology Physician
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License Number | 40168
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License Number State | CO
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