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General NPI Number Information
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NPI Number | 1023237633
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Entity Type | Organization
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Legal Business Name | COLORADO FAMILY MEDICINE
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Dates
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Enumeration Date | 04/24/2007
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Last Update Date | 03/07/2023
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Provider Practice Location Address
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Address Line | 128 STEELE ST STE 300
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City | DENVER
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State | CO
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Zip | 80206-5218
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Country | US
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Telephone | 303-322-2005
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Fax |
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Provider Business Mailing Address
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Address Line | 128 STEELE ST STE 300
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City | DENVER
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State | CO
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Zip | 80206-5218
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Country | US
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Telephone | 303-322-2005
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Fax |
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Authorized Official
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Title or Position | PHYSICIAN
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Name | DR. CONSTANTINE JOHN TSAMASFYROS
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Credential | M.D.
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Telephone | 303-322-2005
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207QH0002X
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Taxonomy Name | Hospice and Palliative Medicine (Family Medicine) Physician
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License Number | 17165
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License Number State | CO
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