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General NPI Number Information
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NPI Number | 1073028122
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Entity Type | Organization
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Legal Business Name | DENVER TECH DERMATOLOGY ASSOCIATES PC
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Dates
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Enumeration Date | 12/12/2017
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Last Update Date | 12/05/2025
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Provider Practice Location Address
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Address Line | 5889 GREENWOOD PLAZA BLVD STE 250
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City | GREENWOOD VILLAGE
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State | CO
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Zip | 80111-2688
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Country | US
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Telephone | 303-222-9559
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Fax | 303-222-9557
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Provider Business Mailing Address
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Address Line | 5889 GREENWOOD VILLAGE BLVD. SUITE 250
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City | GREENWOOD VILLAGE
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State | CO
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Zip | 80111
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Country | US
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Telephone | 303-222-9559
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Fax | 303-222-9557
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Authorized Official
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Title or Position | PRACTICE OWNER
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Name | INSLEY PUMA FLAIG
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Credential | MD
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Telephone | 303-222-9559
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207N00000X
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Taxonomy Name | Dermatology Physician
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License Number |
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License Number State |
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