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General NPI Number Information
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NPI Number | 1063714095
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Entity Type | Organization
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Legal Business Name | ARCH 2007 LLC
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Dates
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Enumeration Date | 11/23/2010
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Last Update Date | 11/23/2010
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Provider Practice Location Address
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Address Line | 201 UNIVERSITY BLVD SUITE 204
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City | DENVER
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State | CO
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Zip | 80206-4657
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Country | US
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Telephone | 303-355-1695
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Fax | 303-355-1834
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Provider Business Mailing Address
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Address Line | 1415 BELLAIRE ST
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City | DENVER
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State | CO
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Zip | 80220-2412
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Country | US
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Telephone | 720-530-1122
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | RICHARD CHARLES
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Credential | DPM
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Telephone | 720-530-1122
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 213E00000X
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Taxonomy Name | Podiatrist
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License Number |
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License Number State |
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