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General NPI Number Information
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NPI Number | 1477514388
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Entity Type | Individual
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Provider Name | ALPHONSE GUY GIORDANO MD
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Gender | Male
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Dates
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Enumeration Date | 03/30/2006
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Last Update Date | 11/18/2020
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Provider Practice Location Address
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Address Line | 550 THORNTON PKWY UNIT 110
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City | THORNTON
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State | CO
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Zip | 80229-2166
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Country | US
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Telephone | 720-872-0399
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Fax |
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Provider Business Mailing Address
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Address Line | 12964 EMERSON ST
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City | THORNTON
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State | CO
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Zip | 80241-3980
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Country | US
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Telephone | 570-971-9335
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | MD046346L
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License Number State | PA
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Taxonomy #2
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | DR.0060451
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License Number State | CO
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