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General NPI Number Information
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NPI Number | 1669356994
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Entity Type | Individual
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Provider Name | TSEGAMLAK A GIRMA FNP-C
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Gender | Male
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Dates
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Enumeration Date | 07/31/2025
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Last Update Date | 09/22/2025
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Provider Practice Location Address
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Address Line | 919 JASMINE ST
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City | DENVER
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State | CO
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Zip | 80220-4588
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Country | US
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Telephone | 303-991-0993
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Fax | 303-531-6583
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Provider Business Mailing Address
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Address Line | 13901 E EXPOSITION AVE STE 202
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City | AURORA
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State | CO
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Zip | 80012-2552
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Country | US
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Telephone | 720-798-3806
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | F07250781
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License Number State | CO
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