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NPI 1811811896

NPI 1811811896 : SKIN & SOUL DERMATOLOGY, PLLC : DENVER, CO

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General NPI Number Information
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    NPI Number           |    1811811896
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    Entity Type          |    Organization 
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    Legal Business Name  |    SKIN & SOUL DERMATOLOGY, PLLC 
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Dates
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    Enumeration Date     |    08/04/2026
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    Last Update Date     |    08/04/2026
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Provider Practice Location Address
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    Address Line         |    7350 E 29TH AVE UNIT 203 
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    City                 |    DENVER
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    State                |    CO
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    Zip                  |    80238-2721
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    Country              |    US
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    Telephone            |    720-677-5822
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    Fax                  |    720-677-5819
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Provider Business Mailing Address
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    Address Line         |    7350 E 29TH AVE UNIT 203 
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    City                 |    DENVER
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    State                |    CO
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    Zip                  |    80238-2721
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    Country              |    US
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    Telephone            |    720-677-5822
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    Fax                  |    720-677-5819
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Authorized Official
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    Title or Position    |    DERMATOLOGY/PEDIATRIC DERMATOLOGY
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    Name                 |    DR. ARELIS  BURGOS 
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    Credential           |    MD
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    Telephone            |    720-677-5822
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    207NP0225X
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    Taxonomy Name        |    Pediatric Dermatology Physician
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    License Number       |    
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    License Number State |    
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