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General NPI Number Information
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NPI Number | 1053537969
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Entity Type | Organization
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Legal Business Name | MEDICAL BILLING MANAGEMENT LLC
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Dates
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Enumeration Date | 04/18/2007
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Last Update Date | 12/27/2010
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Provider Practice Location Address
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Address Line | 2255 S 88TH ST
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City | LOUISVILLE
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State | CO
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Zip | 80027-9716
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Country | US
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Telephone | 303-619-3260
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Fax |
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Provider Business Mailing Address
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Address Line | 1930 S FEDERAL BLVD
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City | DENVER
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State | CO
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Zip | 80219-5501
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Country | US
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Telephone | 303-935-9142
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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. RICHARD WILLS
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Credential | MD
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Telephone | 303-661-0862
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 24806
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License Number State | CO
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