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General NPI Number Information
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NPI Number | 1336638501
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Entity Type | Individual
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Provider Name | WIDIAN JUBAIR MD
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Gender | Female
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Dates
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Enumeration Date | 05/03/2018
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Last Update Date | 09/15/2025
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Provider Practice Location Address
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Address Line | 20991 E SMOKY HILL RD STE 150
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City | CENTENNIAL
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State | CO
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Zip | 80015-5184
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Country | US
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Telephone | 720-975-8044
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Fax | 833-974-3861
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Provider Business Mailing Address
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Address Line | 20991 E SMOKY HILL RD STE 150
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City | CENTENNIAL
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State | CO
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Zip | 80015-5184
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Country | US
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Telephone | 720-975-8044
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Fax | 833-974-3861
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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 | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | DR.0067057
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License Number State | CO
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