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General NPI Number Information
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NPI Number | 1093111064
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Entity Type | Organization
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Legal Business Name | POMEGRANATE CONSULTING, LLC
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Dates
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Enumeration Date | 11/18/2014
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Last Update Date | 11/18/2014
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Provider Practice Location Address
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Address Line | 8189 E 28TH PL
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City | DENVER
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State | CO
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Zip | 80238-2507
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Country | US
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Telephone | 303-830-2665
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Fax |
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Provider Business Mailing Address
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Address Line | 8189 E 28TH PL
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City | DENVER
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State | CO
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Zip | 80238-2507
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Country | US
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Telephone | 303-830-2665
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Fax |
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Authorized Official
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Title or Position | NUTRITIONIST
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Name | DR. ELIZABETH YARNELL
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Credential | N.D.
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Telephone | 303-830-2665
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP3300X
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Taxonomy Name | Pain Clinic/Center
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License Number |
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License Number State |
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