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General NPI Number Information
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NPI Number | 1366337172
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Entity Type | Individual
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Provider Name | AMIR A MAHMOUD NP
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Gender | Male
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Dates
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Enumeration Date | 06/11/2025
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Last Update Date | 08/18/2025
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Provider Practice Location Address
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Address Line | 1001 S PERRY ST STE 104B
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City | CASTLE ROCK
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State | CO
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Zip | 80104-1950
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Country | US
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Telephone | 720-485-3178
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Fax |
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Provider Business Mailing Address
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Address Line | 7090 W CALAHAN AVE
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City | LAKEWOOD
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State | CO
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Zip | 80232-2115
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Country | US
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Telephone | 720-429-8789
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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 | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | APN.1000825-NP
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License Number State | CO
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