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General NPI Number Information
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NPI Number | 1902195969
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Entity Type | Individual
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Provider Name | EMILY R PROUSE MD
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Gender | Female
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Dates
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Enumeration Date | 03/30/2011
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Last Update Date | 01/20/2022
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Provider Practice Location Address
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Address Line | 4500 E 9TH AVE STE 470
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City | DENVER
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State | CO
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Zip | 80220-3912
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Country | US
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Telephone | 303-320-8499
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Fax | 303-320-8620
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Provider Business Mailing Address
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Address Line | 4900 S MONACO ST STE 210
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City | DENVER
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State | CO
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Zip | 80237-3486
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Country | US
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Telephone | 303-320-8499
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Fax | 303-320-8620
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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 | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number | DR.0055793
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License Number State | CO
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