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General NPI Number Information
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NPI Number | 1003804931
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Entity Type | Individual
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Provider Name | ALAN W BURGESS MD
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Gender | Male
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Dates
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Enumeration Date | 10/13/2005
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Last Update Date | 08/15/2019
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Provider Practice Location Address
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Address Line | 1601 E 19TH AVE STE 6000
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City | DENVER
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State | CO
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Zip | 80218-1293
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Country | US
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Telephone | 303-861-7001
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Fax | 303-861-8624
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Provider Business Mailing Address
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Address Line | 4900 S MONACO ST SUITE 210
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City | DENVER
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State | CO
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Zip | 80237-3486
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Country | US
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Telephone | 303-534-9550
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Fax | 720-932-7805
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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 | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 22232
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License Number State | CO
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