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General NPI Number Information
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NPI Number | 1619166527
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Entity Type | Organization
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Legal Business Name | GILBERT B MAESTAS MD PC
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Dates
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Enumeration Date | 10/16/2007
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Last Update Date | 12/14/2007
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Provider Practice Location Address
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Address Line | 3955 E EXPOSITION AVE # 130
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City | DENVER
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State | CO
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Zip | 80209-5000
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Country | US
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Telephone | 303-388-5985
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Fax | 303-388-0550
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Provider Business Mailing Address
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Address Line | 3955 E EXPOSITION AVE # 130
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City | DENVER
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State | CO
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Zip | 80209-5000
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Country | US
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Telephone | 303-388-5985
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Fax | 303-388-0550
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Authorized Official
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Title or Position | OWNER/PHYSICIAN
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Name | GILBERT B MAESTAS
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Credential | M.D.
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Telephone | 303-388-5985
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number |
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License Number State |
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