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General NPI Number Information
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NPI Number | 1861106965
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Entity Type | Individual
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Provider Name | JESSICA NELL WEBER PA-C
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Gender | Female
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Dates
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Enumeration Date | 01/12/2023
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Last Update Date | 09/22/2025
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Provider Practice Location Address
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Address Line | 2055 N HIGH ST STE 130
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City | DENVER
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State | CO
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Zip | 80205-5504
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Country | US
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Telephone | 303-861-2663
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Fax | 303-861-4741
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Provider Business Mailing Address
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Address Line | 5958 S HOLLY ST
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City | GREENWOOD VILLAGE
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State | CO
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Zip | 80111-4221
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Country | US
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Telephone | 303-215-1055
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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 | 363AS0400X
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Taxonomy Name | Surgical Physician Assistant
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License Number | PA.0007684
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License Number State | CO
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Taxonomy #2
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Taxonomy Code | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | PA.0007684
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License Number State | CO
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