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General NPI Number Information
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NPI Number | 1447126909
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Entity Type | Organization
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Legal Business Name | JANMODAYA MOTHER BABY CLINIC, PLLC
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Dates
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Enumeration Date | 10/13/2025
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Last Update Date | 10/13/2025
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Provider Practice Location Address
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Address Line | 603 S. PUBLIC RD, #379
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City | LAFAYETTE
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State | CO
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Zip | 80026
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Country | US
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Telephone | 303-351-1029
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Fax |
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Provider Business Mailing Address
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Address Line | 603 S. PUBLIC RD, #379
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City | LAFAYETTE
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State | CO
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Zip | 80026
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Country | US
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Telephone | 303-351-1029
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Fax |
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Authorized Official
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Title or Position | FOUNDER / CLINIC DIRECTOR / MIDWIFE
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Name | AMITA SREENIVAS
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Credential | DNP, MPH, CNM, NP
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Telephone | 303-351-1029
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number |
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License Number State |
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