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General NPI Number Information
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NPI Number | 1003866880
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Entity Type | Individual
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Provider Name | KIT K BREKHUS M.D.
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Gender | Male
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Dates
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Enumeration Date | 05/11/2006
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Last Update Date | 03/28/2025
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Provider Practice Location Address
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Address Line | 7550 W YALE AVE STE 100
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City | DENVER
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State | CO
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Zip | 80227-3465
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Country | US
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Telephone | 303-935-4689
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Fax | 303-935-3829
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Provider Business Mailing Address
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Address Line | PO BOX 35380
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City | LAS VEGAS
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State | NV
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Zip | 89133-5380
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Country | US
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Telephone | 719-400-7470
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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 | CDRH.0030901
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License Number State | CO
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