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General NPI Number Information
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NPI Number | 1578549218
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Entity Type | Individual
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Provider Name | DAVID S PENNINGTON MD
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Gender | Male
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Dates
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Enumeration Date | 12/15/2005
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Last Update Date | 11/06/2024
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Provider Practice Location Address
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Address Line | 8000 E MAPLEWOOD AVE STE 120
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City | GREENWOOD VILLAGE
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State | CO
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Zip | 80111-4766
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Country | US
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Telephone | 303-438-3999
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Fax | 720-439-9500
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Provider Business Mailing Address
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Address Line | PO BOX 840862
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City | DALLAS
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State | TX
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Zip | 75284-0862
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Country | US
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Telephone |
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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 | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number | DR.0042296
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License Number State | CO
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