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General NPI Number Information
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NPI Number | 1730981200
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Entity Type | Individual
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Provider Name | DR. MUSSIE NEGASH
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Gender | Male
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Dates
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Enumeration Date | 03/26/2025
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Last Update Date | 03/26/2025
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Provider Practice Location Address
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Address Line | 1039 S PARKER RD APT Q5
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City | DENVER
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State | CO
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Zip | 80231-2589
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Country | US
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Telephone | 720-436-4887
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Fax |
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Provider Business Mailing Address
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Address Line | 1039 S PARKER RD APT Q5
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City | DENVER
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State | CO
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Zip | 80231-2589
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Country | US
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Telephone | 720-436-4887
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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 | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 0023018
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License Number State | CO
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