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General NPI Number Information
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NPI Number | 1730215385
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Entity Type | Organization
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Legal Business Name | POWDER DAY ENTERPRISES P.C.
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Dates
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Enumeration Date | 02/26/2007
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Last Update Date | 09/25/2013
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Provider Practice Location Address
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Address Line | 6843 EDGEWOOD PL
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City | HIGHLANDS RANCH
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State | CO
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Zip | 80130-5141
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Country | US
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Telephone | 303-990-1208
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Fax |
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Provider Business Mailing Address
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Address Line | 6843 EDGEWOOD PL
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City | HIGHLANDS RANCH
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State | CO
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Zip | 80130-5141
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Country | US
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Telephone | 303-990-1208
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | SORINA SIMION-RODGERS
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Credential | MD
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Telephone | 303-990-1208
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | 45055
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License Number State | CO
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