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General NPI Number Information
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NPI Number | 1023191210
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Entity Type | Organization
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Legal Business Name | INTEGRATED MEDICAL, INCORPORATED
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Dates
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Enumeration Date | 10/23/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 8100 S AKRON ST SUITE 320
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City | CENTENNIAL
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State | CO
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Zip | 80112-3508
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Country | US
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Telephone | 303-792-0069
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Fax | 303-792-0702
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Provider Business Mailing Address
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Address Line | 8100 S AKRON ST SUITE 320
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City | CENTENNIAL
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State | CO
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Zip | 80112-3508
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Country | US
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Telephone | 303-792-0069
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Fax | 303-792-0702
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Authorized Official
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Title or Position | CONTROLLER
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Name | MS. HEATHER DEWEY
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Credential |
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Telephone | 303-792-0069
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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 | 21-23918-0000
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License Number State | CO
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