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General NPI Number Information
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NPI Number | 1902835614
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Entity Type | Individual
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Provider Name | STEVEN C MATTHEWS PA-C
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Gender | Male
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Dates
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Enumeration Date | 07/03/2006
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Last Update Date | 08/05/2024
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Provider Practice Location Address
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Address Line | 5351 S ROSLYN ST STE 200
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City | GREENWOOD VILLAGE
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State | CO
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Zip | 80111-2132
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Country | US
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Telephone | 303-679-2070
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Fax | 303-679-2071
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Provider Business Mailing Address
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Address Line | 5351 S ROSLYN ST STE 200
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City | GREENWOOD VILLAGE
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State | CO
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Zip | 80111-2132
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Country | US
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Telephone | 303-679-2070
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Fax | 303-679-2071
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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 | 1667
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License Number State | CO
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Taxonomy #2
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Taxonomy Code | 363AS0400X
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Taxonomy Name | Surgical Physician Assistant
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License Number | PA1667
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License Number State | CO
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