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General NPI Number Information
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NPI Number | 1578673158
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Entity Type | Individual
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Provider Name | JAIME MCNITT PA-C
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Gender | Female
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Dates
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Enumeration Date | 08/30/2006
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Last Update Date | 02/02/2024
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Provider Practice Location Address
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Address Line | 7298 LAGAE RD STE C
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City | CASTLE PINES
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State | CO
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Zip | 80108-9494
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Country | US
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Telephone | 720-815-5424
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Fax | 303-590-3212
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Provider Business Mailing Address
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Address Line | 7054 TIMBERCREST WAY
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City | CASTLE PINES
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State | CO
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Zip | 80108-8266
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Country | US
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Telephone | 404-218-0812
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Fax | 303-590-3212
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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 | 3216
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License Number State | CO
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