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General NPI Number Information
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NPI Number | 1063824084
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Entity Type | Organization
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Legal Business Name | MCKITTERICK FAMILY MEDICINE PC
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Dates
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Enumeration Date | 05/26/2014
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Last Update Date | 05/26/2014
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Provider Practice Location Address
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Address Line | 4185 E WILDCAT RESERVE PKWY SUITE 200
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City | HIGHLANDS RANCH
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State | CO
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Zip | 80126-6801
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Country | US
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Telephone | 303-327-5143
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Fax | 303-327-5148
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Provider Business Mailing Address
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Address Line | 4185 E WILDCAT RESERVE PKWY SUITE 200
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City | HIGHLANDS RANCH
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State | CO
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Zip | 80126-6801
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Country | US
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Telephone | 303-327-5143
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Fax | 303-327-5148
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Authorized Official
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Title or Position | BUSINESS OWNER
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Name | DR. CHERRIE MARIE MCKITTERICK
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Credential | M.D.
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Telephone | 303-327-5143
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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 |
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