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General NPI Number Information
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NPI Number | 1053691089
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Entity Type | Organization
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Legal Business Name | HEALTH PROFESSIONALS, LTD
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Dates
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Enumeration Date | 08/22/2011
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Last Update Date | 08/22/2011
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Provider Practice Location Address
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Address Line | 6200 S SYRACUSE WAY SUITE 440
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City | GREENWOOD VILLAGE
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State | CO
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Zip | 80111-4737
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Country | US
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Telephone | 720-622-8025
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Fax | 720-622-8099
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Provider Business Mailing Address
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Address Line | 6200 S SYRACUSE WAY SUITE 440
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City | GREENWOOD VILLAGE
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State | CO
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Zip | 80111-4737
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Country | US
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Telephone | 720-622-8025
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Fax | 720-622-8099
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Authorized Official
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Title or Position | PRESIDENT
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Name | LARRY WOLK
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Credential | MD
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Telephone | 720-622-8025
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number |
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License Number State | CA
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