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General NPI Number Information
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NPI Number | 1407716608
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Entity Type | Individual
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Provider Name | MRS. PORTIA CINCO MADRONERO
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Gender | Female
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Dates
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Enumeration Date | 11/12/2025
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Last Update Date | 11/12/2025
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Provider Practice Location Address
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Address Line | 4100 E MISSISSIPPI AVE
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City | DENVER
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State | CO
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Zip | 80246-3048
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Country | US
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Telephone | 720-857-5988
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Fax |
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Provider Business Mailing Address
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Address Line | 515 N CLARKSON ST APT 1108
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City | DENVER
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State | CO
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Zip | 80218-3251
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Country | US
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Telephone | 303-331-7500
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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 | 171M00000X
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Taxonomy Name | Case Manager/Care Coordinator
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License Number | 787621-01
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License Number State | NY
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