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General NPI Number Information
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NPI Number | 1013457753
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Entity Type | Organization
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Legal Business Name | NEW SPORT, LLC
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Dates
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Enumeration Date | 02/28/2017
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Last Update Date | 02/28/2017
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Provider Practice Location Address
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Address Line | 5350 DTC PKWY STE 201
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City | GREENWOOD VILLAGE
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State | CO
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Zip | 80111-3156
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Country | US
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Telephone | 774-276-1875
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Fax |
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Provider Business Mailing Address
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Address Line | 5350 DTC PKWY STE 201
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City | GREENWOOD VILLAGE
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State | CO
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Zip | 80111-3156
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | CO-OWNER
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Name | BLAKE A HELM
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Credential |
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Telephone | 774-276-1875
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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License Number |
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License Number State |
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