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General NPI Number Information
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NPI Number | 1649276916
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Entity Type | Individual
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Provider Name | MITCHELL A ADLER MD
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Gender | Male
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Dates
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Enumeration Date | 06/22/2005
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Last Update Date | 10/01/2025
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Provider Practice Location Address
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Address Line | 4567 E 9TH AVE
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City | DENVER
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State | CO
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Zip | 80220-3908
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Country | US
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Telephone | 805-705-0495
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Fax |
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Provider Business Mailing Address
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Address Line | 17262 COPPER VALLEY COURT
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City | MONUMENT
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State | CO
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Zip | 80132-9279
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Country | US
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Telephone | 805-705-0495
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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 | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number | DR.0066994
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License Number State | CO
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Taxonomy #2
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Taxonomy Code | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number | G72287
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License Number State | CA
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