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General NPI Number Information
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NPI Number | 1073769790
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Entity Type | Individual
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Provider Name | RUCHIKA DUTTA HUSA M.D
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Gender | Female
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Dates
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Enumeration Date | 08/13/2008
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Last Update Date | 12/13/2016
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Provider Practice Location Address
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Address Line | 1400 JACKSON ST
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City | DENVER
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State | CO
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Zip | 80206-2761
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Country | US
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Telephone | 303-398-1528
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Fax | 303-270-2174
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Provider Business Mailing Address
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Address Line | 8300 ALCOTT STREET SCLHS
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City | WESTMINSTER
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State | CO
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Zip | 80031-1252
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Country | US
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Telephone | 303-603-9976
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Fax | 303-403-6213
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RC0000X
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Taxonomy Name | Cardiovascular Disease Physician
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License Number | 35.099323
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License Number State | OH
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Taxonomy #2
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | A104673
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License Number State | CA
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Taxonomy #3
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Taxonomy Code | 207RC0000X
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Taxonomy Name | Cardiovascular Disease Physician
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License Number | 56601
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License Number State | CO
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