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General NPI Number Information
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NPI Number | 1417571365
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Entity Type | Individual
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Provider Name | EMILY GIBSON D.O
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Gender | Female
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Dates
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Enumeration Date | 06/05/2020
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Last Update Date | 09/19/2025
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Provider Practice Location Address
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Address Line | 8401 S CHAMBERS RD
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City | ENGLEWOOD
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State | CO
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Zip | 80112-3276
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Country | US
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Telephone | 720-875-2880
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Fax |
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Provider Business Mailing Address
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Address Line | 15273 E PROGRESS PL
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City | AURORA
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State | CO
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Zip | 80015-2281
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Country | US
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Telephone | 720-874-2490
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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 | 204D00000X
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Taxonomy Name | Neuromusculoskeletal Medicine & OMM Physician
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License Number | 0075200
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License Number State | CO
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