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General NPI Number Information
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NPI Number | 1699171264
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Entity Type | Individual
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Provider Name | JASON MICHAEL LEWIS
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Gender | Male
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Dates
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Enumeration Date | 11/10/2014
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Last Update Date | 04/21/2025
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Provider Practice Location Address
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Address Line | 2880 W HOLDEN PL
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City | DENVER
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State | CO
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Zip | 80204-3353
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Country | US
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Telephone | 303-953-6600
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Fax | 303-781-4333
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Provider Business Mailing Address
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Address Line | 2880 W HOLDEN PL
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City | DENVER
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State | CO
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Zip | 80204-3353
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Country | US
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Telephone | 303-953-6600
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Fax | 303-781-4333
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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 | APN.0991473-NP
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License Number State | CO
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