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General NPI Number Information
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NPI Number | 1932284684
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Entity Type | Individual
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Provider Name | SARAH ANNE LACEY MD
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Gender | Female
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Dates
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Enumeration Date | 10/25/2006
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Last Update Date | 06/25/2021
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Provider Practice Location Address
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Address Line | 4500 E 9TH AVE #300
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City | DENVER
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State | CO
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Zip | 80220
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Country | US
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Telephone | 720-941-1778
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Fax | 303-756-1408
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Provider Business Mailing Address
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Address Line | 4500 E 9TH AVE #300
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City | DENVER
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State | CO
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Zip | 80220
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Country | US
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Telephone | 303-756-0101
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Fax | 303-756-1408
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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 | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number | 39955
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License Number State | CO
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