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General NPI Number Information
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NPI Number | 1831745934
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Entity Type | Individual
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Provider Name | SARA GETAHUN
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Gender | Female
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Dates
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Enumeration Date | 08/14/2019
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Last Update Date | 08/14/2019
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Provider Practice Location Address
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Address Line | 6880 E COLFAX AVE
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City | DENVER
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State | CO
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Zip | 80220-1707
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Country | US
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Telephone | 303-388-9302
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Fax |
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Provider Business Mailing Address
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Address Line | 1811 S QUEBEC WAY APT 256
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City | DENVER
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State | CO
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Zip | 80231-2676
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Country | US
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Telephone | 303-269-1746
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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 | 372600000X
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Taxonomy Name | Adult Companion
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License Number | 06-003-0443
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License Number State | CO
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