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General NPI Number Information
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NPI Number | 1538480983
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Entity Type | Individual
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Provider Name | STEPHANIE SKUBY CHASSEN M.D.
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Gender | Female
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Dates
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Enumeration Date | 06/21/2010
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Last Update Date | 07/05/2016
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Provider Practice Location Address
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Address Line | 13121 E 17TH AVE MS 8402
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City | AURORA
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State | CO
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Zip | 80045-2535
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Country | US
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Telephone | 303-724-2867
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Fax |
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Provider Business Mailing Address
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Address Line | 13121 E 17TH AVE MS 8402
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City | AURORA
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State | CO
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Zip | 80045-2535
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Country | US
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Telephone | 303-724-2867
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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 | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number | MT196942
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License Number State | PA
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Taxonomy #2
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Taxonomy Code | 2080N0001X
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Taxonomy Name | Neonatal-Perinatal Medicine Physician
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License Number | TL0004998
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License Number State | CO
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