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General NPI Number Information
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NPI Number | 1871065706
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Entity Type | Individual
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Provider Name | SARAH ROSE DATHE PA-S
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Gender | Female
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Dates
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Enumeration Date | 12/17/2018
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Last Update Date | 07/17/2024
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Provider Practice Location Address
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Address Line | 11750 W 2ND PL STE 360
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City | LAKEWOOD
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State | CO
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Zip | 80228-1756
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Country | US
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Telephone | 720-473-7120
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Fax | 720-400-8562
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Provider Business Mailing Address
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Address Line | 6575 ZANG ST
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City | ARVADA
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State | CO
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Zip | 80004-2237
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Country | US
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Telephone | 720-257-8832
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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 | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number |
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License Number State |
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