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General NPI Number Information
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NPI Number | 1861871527
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Entity Type | Individual
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Provider Name | SEAN MICHAEL BRODIE
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Gender | Male
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Dates
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Enumeration Date | 05/27/2015
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Last Update Date | 07/23/2024
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Provider Practice Location Address
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Address Line | 4525 E 8TH AVE
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City | DENVER
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State | CO
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Zip | 80220-3802
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Country | US
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Telephone | 303-329-6500
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Fax | 303-329-9020
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Provider Business Mailing Address
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Address Line | 4525 E 8TH AVE
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City | DENVER
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State | CO
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Zip | 80220-3802
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Country | US
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Telephone | 303-329-6500
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Fax | 303-329-9020
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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 | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | CDRH0059607
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License Number State | CO
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