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General NPI Number Information
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NPI Number | 1831511088
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Entity Type | Organization
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Legal Business Name | SUNFLOWER PEDIATRICS, PC
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Dates
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Enumeration Date | 01/07/2014
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Last Update Date | 01/07/2014
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Provider Practice Location Address
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Address Line | 7917 S SETTLERS DR
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City | MORRISON
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State | CO
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Zip | 80465-2812
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Country | US
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Telephone | 720-898-9586
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Fax |
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Provider Business Mailing Address
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Address Line | 12500 W 58TH AVE SUITE 233
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City | ARVADA
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State | CO
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Zip | 80002-1103
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Country | US
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Telephone | 720-536-5282
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Fax | 720-596-4364
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Authorized Official
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Title or Position | CEO
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Name | DR. VEENA MATHAD
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Credential | M.D
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Telephone | 720-988-4467
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number | 41871
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License Number State | CO
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