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General NPI Number Information
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NPI Number | 1992660898
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Entity Type | Individual
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Provider Name | TIEDROS W ABERA
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Gender | Male
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Dates
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Enumeration Date | 12/22/2025
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Last Update Date | 12/22/2025
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Provider Practice Location Address
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Address Line | 2175 ACADEMY CIR
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City | COLORADO SPRINGS
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State | CO
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Zip | 80909-1695
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Country | US
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Telephone | 720-675-2903
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Fax |
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Provider Business Mailing Address
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Address Line | 9100 E FLORIDA AVE APT 5-105
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City | DENVER
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State | CO
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Zip | 80247-7313
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Country | US
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Telephone | 720-675-2903
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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 | 342000000X
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Taxonomy Name | Transportation Network Company
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License Number | U20113440-0001
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License Number State | CO
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