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General NPI Number Information
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NPI Number | 1053713230
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Entity Type | Organization
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Legal Business Name | HIGHLANDS RANCH FAMILY MEDICINE
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Dates
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Enumeration Date | 09/19/2014
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Last Update Date | 09/19/2014
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Provider Practice Location Address
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Address Line | 10650 GARDEN DR UNIT 104
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City | AURORA
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State | CO
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Zip | 80012-7019
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Country | US
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Telephone | 303-369-7752
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Fax |
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Provider Business Mailing Address
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Address Line | 10650 GARDEN DR
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City | AURORA
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State | CO
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Zip | 80012-7018
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Country | US
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Telephone | 303-369-7752
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Fax |
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Authorized Official
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Title or Position | PHYSICIAN
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Name | ARTHUR FERNANDEZ FERRER
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Credential | M.D
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Telephone | 303-369-7752
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number | CO38896
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License Number State | CO
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