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General NPI Number Information
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NPI Number | 1720255318
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Entity Type | Organization
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Legal Business Name | JAN H HOPKINS MD PC
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Dates
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Enumeration Date | 05/13/2008
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Last Update Date | 05/13/2008
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Provider Practice Location Address
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Address Line | 1120 EAST ELIZABETH STREET BUILDING G STE 1
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City | FORT COLLINS
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State | CO
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Zip | 80524
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Country | US
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Telephone | 970-493-2776
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Fax | 970-493-2772
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Provider Business Mailing Address
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Address Line | 1120 EAST ELIZABETH STREET BUILDING G STE 1
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City | FORT COLLINS
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State | CO
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Zip | 80524
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Country | US
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Telephone | 970-493-2776
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Fax | 970-493-2772
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Authorized Official
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Title or Position | OWNER
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Name | JAN HESTER HOPKINS
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Credential | MD
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Telephone | 970-493-2776
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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 | 32754
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License Number State | CO
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