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General NPI Number Information
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NPI Number | 1942349592
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Entity Type | Individual
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Provider Name | NAOMI C PURDY MD
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Gender | Female
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Dates
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Enumeration Date | 02/06/2007
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Last Update Date | 11/14/2024
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Provider Practice Location Address
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Address Line | 2525 13TH ST
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City | BOULDER
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State | CO
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Zip | 80304-4104
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Country | US
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Telephone | 303-665-3036
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Fax |
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Provider Business Mailing Address
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Address Line | 1735 S PUBLIC RD
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City | LAFAYETTE
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State | CO
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Zip | 80026-7093
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Country | US
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Telephone | 303-665-3036
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Fax |
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 0071542
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License Number State | CO
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