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General NPI Number Information
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NPI Number | 1861631319
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Entity Type | Individual
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Provider Name | CARINA P KUGELMAS MD
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Gender | Female
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Dates
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Enumeration Date | 02/06/2009
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Last Update Date | 03/30/2021
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Provider Practice Location Address
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Address Line | 777 BANNOCK ST
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City | DENVER
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State | CO
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Zip | 80204-4507
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Country | US
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Telephone | 303-436-6000
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Fax |
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Provider Business Mailing Address
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Address Line | 11500 E DORADO AVE
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City | ENGLEWOOD
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State | CO
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Zip | 80111-4144
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Country | US
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Telephone | 720-352-0679
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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 | 172V00000X
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Taxonomy Name | Community Health Worker
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License Number | 38734
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License Number State | CO
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Taxonomy #2
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Taxonomy Code | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number | DR.0038734
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License Number State | CO
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