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General NPI Number Information
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NPI Number | 1346341120
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Entity Type | Individual
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Provider Name | JAY R CIOTTI MD
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Gender | Male
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Dates
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Enumeration Date | 09/26/2006
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Last Update Date | 11/08/2024
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Provider Practice Location Address
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Address Line | 1970 E 3RD AVE
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City | DURANGO
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State | CO
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Zip | 81301-5056
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Country | US
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Telephone | 970-444-0260
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 844088
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City | DALLAS
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State | TX
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Zip | 75284-4088
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Country | US
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Telephone | 505-609-2258
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Fax | 505-609-2259
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 35720
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License Number State | CO
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