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General NPI Number Information
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NPI Number | 1356636542
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Entity Type | Individual
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Provider Name | DANIEL JOHN MAZUR M.D.
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Gender | Male
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Dates
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Enumeration Date | 06/15/2011
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Last Update Date | 12/06/2022
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Provider Practice Location Address
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Address Line | 7720 S BROADWAY STE 500
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City | LITTLETON
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State | CO
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Zip | 80122-2635
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Country | US
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Telephone | 815-485-6782
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Fax |
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Provider Business Mailing Address
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Address Line | 7720 S BROADWAY STE 500
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City | LITTLETON
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State | CO
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Zip | 80122-2635
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Country | US
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Telephone | 815-485-6782
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Fax |
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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 | 208800000X
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Taxonomy Name | Urology Physician
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License Number | DR.0060626
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License Number State | CO
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