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General NPI Number Information
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NPI Number | 1407437312
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Entity Type | Individual
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Provider Name | JOSEPH NATHANSON
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Gender | Male
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Dates
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Enumeration Date | 04/21/2021
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Last Update Date | 11/13/2025
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Provider Practice Location Address
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Address Line | 2975 ROSLYN ST UNIT 100
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City | DENVER
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State | CO
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Zip | 80238-3326
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Country | US
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Telephone | 303-399-7900
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Fax | 303-399-7999
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Provider Business Mailing Address
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Address Line | 1860 S NEWPORT ST
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City | DENVER
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State | CO
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Zip | 80224-2250
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Country | US
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Telephone | 720-951-2094
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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 | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number | DR.0075710
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License Number State | CO
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Taxonomy #2
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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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