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General NPI Number Information
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NPI Number | 1023625662
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Entity Type | Organization
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Legal Business Name | SIGNIFY HEALTH MEDICAL ASSOCIATES OF COLORADO, PLLC.
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Dates
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Enumeration Date | 09/28/2020
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Last Update Date | 09/14/2023
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Provider Practice Location Address
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Address Line | 7900 E UNION AVE STE 1100
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City | DENVER
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State | CO
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Zip | 80237-2746
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Country | US
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Telephone | 877-868-5351
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Fax |
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Provider Business Mailing Address
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Address Line | 4055 VALLEY VIEW LN STE 400
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City | DALLAS
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State | TX
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Zip | 75244-5071
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Country | US
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Telephone | 877-868-5351
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DR. PAUL KENNETH BRANCH
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Credential | MD
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Telephone | 866-477-1169
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208D00000X
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Taxonomy Name | General Practice Physician
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 261QM1300X
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Taxonomy Name | Multi-Specialty Clinic/Center
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License Number |
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License Number State |
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