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General NPI Number Information
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NPI Number | 1376550889
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Entity Type | Individual
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Provider Name | DAVID A GORDON MD
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Gender | Male
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Dates
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Enumeration Date | 08/01/2006
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Last Update Date | 08/27/2024
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Provider Practice Location Address
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Address Line | PO BOX 200278
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City | DENVER
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State | CO
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Zip | 80220-0278
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Country | US
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Telephone | 720-625-8800
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Fax | 720-625-8999
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Provider Business Mailing Address
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Address Line | 360 S MONROE ST SUITE 150
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City | DENVER
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State | CO
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Zip | 80209-3705
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Country | US
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Telephone | 303-261-8112
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Fax | 303-792-3015
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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 | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 40354
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License Number State | CO
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