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General NPI Number Information
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NPI Number | 1619191012
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Entity Type | Individual
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Provider Name | JAMES MAULDIN MD
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Gender | Male
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Dates
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Enumeration Date | 04/13/2007
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Last Update Date | 08/12/2022
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Provider Practice Location Address
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Address Line | 10789 BRADFORD RD STE 204
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City | LITTLETON
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State | CO
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Zip | 80127-6406
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Country | US
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Telephone | 303-951-3765
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Fax | 303-951-3764
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Provider Business Mailing Address
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Address Line | 10789 BRADFORD RD STE 204
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City | LITTLETON
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State | CO
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Zip | 80127-6406
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Country | US
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Telephone | 303-951-3765
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Fax | 303-951-3764
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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 | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | 40043
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License Number State | CO
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