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General NPI Number Information
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NPI Number | 1437010469
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Entity Type | Individual
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Provider Name | SEDA MARIN CONDELL
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Gender | Female
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Dates
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Enumeration Date | 11/19/2025
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Last Update Date | 11/19/2025
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Provider Practice Location Address
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Address Line | 7860 E BERRY PL STE 110
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City | GREENWOOD VILLAGE
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State | CO
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Zip | 80111-2326
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Country | US
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Telephone | 303-630-9603
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Fax |
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Provider Business Mailing Address
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Address Line | 500 S DENVER AVE UNIT 11E
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City | FORT LUPTON
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State | CO
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Zip | 80621-1340
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Country | US
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Telephone | 719-221-0389
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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 | 225700000X
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Taxonomy Name | Massage Therapist
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License Number | 0027876
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License Number State | CO
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