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General NPI Number Information
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NPI Number | 1497065254
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Entity Type | Individual
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Provider Name | SARA A GULDIN PA
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Gender | Female
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Dates
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Enumeration Date | 10/14/2010
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Last Update Date | 04/28/2016
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Provider Practice Location Address
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Address Line | 11750 W. 2ND PLACE SUITE 100
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City | LAKEWOOD
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State | CO
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Zip | 80228
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Country | US
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Telephone | 303-430-2700
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Fax | 303-430-2770
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Provider Business Mailing Address
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Address Line | 7951 E. MAPLEWOOD AVENUE SUITE 300
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City | GREENWOOD VILLAGE
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State | CO
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Zip | 80111
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Country | US
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Telephone | 303-930-7800
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Fax | 303-930-7860
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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 | 363AM0700X
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Taxonomy Name | Medical Physician Assistant
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License Number | MA054680
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License Number State | PA
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Taxonomy #2
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Taxonomy Code | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | PA.0004216
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License Number State | CO
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