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General NPI Number Information
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NPI Number | 1699237370
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Entity Type | Individual
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Provider Name | DANIEL ROBERT WELLS-PRADO MD
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Gender | Male
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Dates
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Enumeration Date | 04/02/2019
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Last Update Date | 01/02/2025
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Provider Practice Location Address
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Address Line | 5075 LINCOLN ST
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City | DENVER
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State | CO
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Zip | 80216-2015
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Country | US
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Telephone | 303-458-5302
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Fax | 303-433-7452
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Provider Business Mailing Address
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Address Line | 4725 HIGH ST
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City | DENVER
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State | CO
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Zip | 80216-2220
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Country | US
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Telephone | 303-458-5302
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Fax | 303-583-0152
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | DR.0068907
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License Number State | CO
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