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General NPI Number Information
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NPI Number | 1457285298
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Entity Type | Individual
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Provider Name | JOHN ALDOUS MANASJAN NREMT-P, FP-C
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Gender | Male
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Dates
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Enumeration Date | 06/09/2026
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Last Update Date | 06/09/2026
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Provider Practice Location Address
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Address Line | 3400 STANLEY RD
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City | DUMONT
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State | CO
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Zip | 80436-5097
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Country | US
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Telephone | 303-434-0389
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Fax |
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Provider Business Mailing Address
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Address Line | 90 N CORONA ST APT 803
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City | DENVER
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State | CO
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Zip | 80218-3886
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Country | US
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Telephone | 720-333-5086
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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 | 146L00000X
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Taxonomy Name | Paramedic
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License Number | M5088948
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License Number State | CO
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