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General NPI Number Information
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NPI Number | 1063681112
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Entity Type | Organization
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Legal Business Name | ART INCORPORATED
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Dates
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Enumeration Date | 02/22/2008
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Last Update Date | 02/22/2008
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Provider Practice Location Address
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Address Line | 13140 E MISSISSIPPI AVE
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City | AURORA
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State | CO
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Zip | 80012-3427
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Country | US
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Telephone | 720-748-2603
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Fax | 720-747-8239
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Provider Business Mailing Address
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Address Line | 13140 E MISSISSIPPI AVE
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City | AURORA
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State | CO
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Zip | 80012-3427
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Country | US
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Telephone | 720-748-2603
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Fax | 720-747-8239
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Authorized Official
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Title or Position | SECRETARY
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Name | ARUTYUN O AVAKYAN
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Credential |
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Telephone | 720-748-2603
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QA0600X
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Taxonomy Name | Adult Day Care Clinic/Center
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License Number | 10E529
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License Number State | CO
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