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General NPI Number Information
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NPI Number | 1417087354
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Entity Type | Individual
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Provider Name | JODY L GIBSON MD
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Gender | Female
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Dates
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Enumeration Date | 03/07/2007
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Last Update Date | 06/06/2026
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Provider Practice Location Address
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Address Line | 8301 W ALAMEDA AVE
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City | LAKEWOOD
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State | CO
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Zip | 80226-3007
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Country | US
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Telephone | 303-338-4545
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Fax |
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Provider Business Mailing Address
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Address Line | 10350 E DAKOTA AVE
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City | DENVER
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State | CO
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Zip | 80247-1314
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Country | US
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Telephone |
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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 | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number | 43402
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License Number State | CO
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