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General NPI Number Information
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NPI Number | 1033399191
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Entity Type | Organization
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Legal Business Name | DENVER SOUTH INTRAOPERATIVE MONITORING
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Dates
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Enumeration Date | 11/06/2007
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Last Update Date | 11/06/2007
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Provider Practice Location Address
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Address Line | 390 INTERLOCKEN CRES SUITE 890
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City | BROOMFIELD
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State | CO
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Zip | 80021-8038
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Country | US
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Telephone | 720-407-2700
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Fax | 303-339-1498
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Provider Business Mailing Address
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Address Line | 390 INTERLOCKEN CRES SUITE 890
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City | BROOMFIELD
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State | CO
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Zip | 80021-8038
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Country | US
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Telephone | 720-407-2700
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Fax | 303-339-1498
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Authorized Official
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Title or Position | CHIEF FINANCIAL OFFICER
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Name | DAVID R CALLEJAS
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Credential |
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Telephone | 303-339-1499
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 247200000X
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Taxonomy Name | Other Technician
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License Number |
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License Number State | CO
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