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General NPI Number Information
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NPI Number | 1922664200
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Entity Type | Organization
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Legal Business Name | CIRRUSMD MEDICAL GROUP OF DELAWARE, P.A.
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Dates
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Enumeration Date | 05/13/2019
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Last Update Date | 03/19/2025
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Provider Practice Location Address
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Address Line | 3000 LAWRENCE ST # 101
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City | DENVER
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State | CO
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Zip | 80205-3422
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Country | US
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Telephone | 720-996-0522
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Fax |
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Provider Business Mailing Address
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Address Line | 3000 LAWRENCE ST # 101
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City | DENVER
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State | CO
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Zip | 80205-3422
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | MEDICAL DIRECTOR
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Name | JOHN P DUTTON
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Credential |
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Telephone | 916-215-4554
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number |
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License Number State |
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