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General NPI Number Information
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NPI Number | 1356412373
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Entity Type | Organization
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Legal Business Name | PEDIATRIC ENDOCRINE ASSOCIATES, P.C.
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Dates
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Enumeration Date | 11/13/2006
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Last Update Date | 12/12/2020
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Provider Practice Location Address
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Address Line | 8200 E BELLEVIEW AVE SUITE 510E
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City | GREENWOOD VILLAGE
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State | CO
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Zip | 80111
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Country | US
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Telephone | 303-783-3883
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Fax | 303-783-3800
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Provider Business Mailing Address
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Address Line | 8200 E BELLEVIEW AVE SUITE 510E
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City | GREENWOOD VILLAGE
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State | CO
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Zip | 80111
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Country | US
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Telephone | 303-783-3883
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Fax | 303-783-3800
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. SUNIL NAYAK
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Credential | M.D.
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Telephone | 303-783-3883
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 2080P0205X
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Taxonomy Name | Pediatric Endocrinology Physician
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License Number |
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License Number State |
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