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General NPI Number Information
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NPI Number | 1689488256
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Entity Type | Individual
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Provider Name | AMBAR SOLIS-FUENTES
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Gender | Female
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Dates
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Enumeration Date | 02/04/2025
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Last Update Date | 02/04/2025
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Provider Practice Location Address
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Address Line | 2101 E 48TH AVE
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City | DENVER
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State | CO
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Zip | 80216-2253
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Country | US
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Telephone | 303-458-5302
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Fax |
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Provider Business Mailing Address
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Address Line | 1976 S DANUBE WAY
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City | AURORA
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State | CO
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Zip | 80013-7716
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Country | US
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Telephone |
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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 | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | 0009034
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License Number State | CO
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