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General NPI Number Information
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NPI Number | 1346278637
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Entity Type | Individual
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Provider Name | HILARIE J GUTIERREZ MD
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Gender | Female
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Dates
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Enumeration Date | 06/28/2006
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Last Update Date | 10/02/2025
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Provider Practice Location Address
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Address Line | 1380 TULIP ST STE B
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City | LONGMONT
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State | CO
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Zip | 80501-3157
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Country | US
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Telephone | 303-651-5160
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Fax | 303-651-5173
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Provider Business Mailing Address
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Address Line | PO BOX 800022
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City | KANSAS CITY
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State | MO
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Zip | 64180-0022
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Country | US
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Telephone | 800-953-0104
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Fax | 303-765-6670
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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 | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number | DR.0035747
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License Number State | CO
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Taxonomy #2
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number | DR.0035747
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License Number State | CO
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