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General NPI Number Information
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NPI Number | 1518013143
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Entity Type | Individual
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Provider Name | GEOFFREY S. JENSEN MD
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Gender | Male
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Dates
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Enumeration Date | 01/26/2007
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Last Update Date | 10/31/2023
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Provider Practice Location Address
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Address Line | 10103 RIDGEGATE PKWY STE. 312
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City | LONE TREE
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State | CO
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Zip | 80124-5520
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Country | US
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Telephone | 303-788-8888
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Fax | 866-456-4594
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Provider Business Mailing Address
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Address Line | 10103 RIDGEGATE PKWY STE. 312
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City | LONE TREE
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State | CO
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Zip | 80124-5520
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Country | US
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Telephone | 303-788-8888
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Fax | 866-456-4594
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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 | 207RG0100X
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Taxonomy Name | Gastroenterology Physician
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License Number | 42835
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License Number State | CO
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