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General NPI Number Information
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NPI Number | 1801095195
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Entity Type | Individual
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Provider Name | SASHA ELIZABETH ANDREWS PETTY MD
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Gender | Female
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Dates
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Enumeration Date | 07/16/2007
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Last Update Date | 05/07/2025
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Provider Practice Location Address
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Address Line | 2055 HIGH ST
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City | DENVER
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State | CO
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Zip | 80205-5503
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Country | US
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Telephone | 303-860-9990
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Fax |
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Provider Business Mailing Address
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Address Line | 2055 HIGH ST
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City | DENVER
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State | CO
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Zip | 80205-5503
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Country | US
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Telephone | 303-860-9990
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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 | 207VM0101X
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Taxonomy Name | Maternal & Fetal Medicine Physician
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License Number | N0609
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 207VM0101X
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Taxonomy Name | Maternal & Fetal Medicine Physician
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License Number | 49866
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License Number State | CO
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