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General NPI Number Information
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NPI Number | 1942221502
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Entity Type | Individual
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Provider Name | JEANNE M BIRD PA-C
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Gender | Female
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Dates
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Enumeration Date | 07/21/2006
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Last Update Date | 07/30/2025
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Provider Practice Location Address
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Address Line | 333 1ST ST STE A
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City | SAN FRANCISCO
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State | CA
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Zip | 94105-2661
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Country | US
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Telephone | 720-988-8826
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Fax | 888-033-3318
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Provider Business Mailing Address
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Address Line | 3434 47TH ST SUITE 101
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City | BOULDER
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State | CO
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Zip | 80301-1880
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Country | US
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Telephone | 303-444-0840
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Fax | 303-444-0838
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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 | 363AM0700X
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Taxonomy Name | Medical Physician Assistant
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License Number | 56725
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License Number State | CA
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