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General NPI Number Information
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NPI Number | 1003147927
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Entity Type | Organization
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Legal Business Name | 2045 FRANKLIN ST.
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Dates
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Enumeration Date | 01/15/2010
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Last Update Date | 01/15/2010
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Provider Practice Location Address
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Address Line | 2045 FRANKLIN ST
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City | DENVER
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State | CO
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Zip | 80205-5437
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Country | US
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Telephone | 303-614-1492
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Fax |
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Provider Business Mailing Address
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Address Line | 11577 DEPEW WAY
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City | WESTMINSTER
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State | CO
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Zip | 80020-6857
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Country | US
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Telephone | 720-394-9524
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Fax |
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Authorized Official
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Title or Position | MA
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Name | MS. PAULA NAYDINE MADRID
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Credential |
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Telephone | 303-614-1492
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 282N00000X
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Taxonomy Name | General Acute Care Hospital
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License Number |
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License Number State |
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