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General NPI Number Information
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NPI Number | 1356978878
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Entity Type | Individual
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Provider Name | JOSEPH NICHOLAI PONCE MD
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Gender | Male
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Dates
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Enumeration Date | 03/25/2020
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Last Update Date | 11/05/2024
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Provider Practice Location Address
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Address Line | 2525 S DOWNING ST
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City | DENVER
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State | CO
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Zip | 80210-5817
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Country | US
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Telephone | 303-778-1955
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Fax |
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Provider Business Mailing Address
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Address Line | 8903 E 24TH PL UNIT 104
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City | DENVER
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State | CO
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Zip | 80238-2841
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Country | US
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Telephone | 832-472-8671
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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 | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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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 | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number | DR.0070957
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License Number State | CO
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