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General NPI Number Information
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NPI Number | 1629393111
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Entity Type | Individual
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Provider Name | SYLVIA HAASE CNIM
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Gender | Female
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Dates
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Enumeration Date | 03/29/2010
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Last Update Date | 09/25/2024
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Provider Practice Location Address
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Address Line | SPINE AND TOTAL JOINT CENTER 10101 RIDGEGATE PKWY
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City | LONE TREE
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State | CO
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Zip | 80124
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Country | US
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Telephone | 720-635-6284
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Fax |
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Provider Business Mailing Address
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Address Line | 10847 MARCLIF RD
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City | CONIFER
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State | CO
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Zip | 80433-7707
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Country | US
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Telephone | 720-635-6284
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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 | 246ZS0410X
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Taxonomy Name | Surgical Technologist
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License Number | 2249
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License Number State |
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