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General NPI Number Information
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NPI Number | 1093842213
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Entity Type | Organization
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Legal Business Name | IVY MEDS OF DENVER, INC.
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Dates
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Enumeration Date | 02/27/2007
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Last Update Date | 10/27/2014
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Provider Practice Location Address
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Address Line | 8811 AMERICAN WAY #150
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City | ENGLEWOOD
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State | CO
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Zip | 80112
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Country | US
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Telephone | 303-254-8169
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Fax | 303-432-9310
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Provider Business Mailing Address
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Address Line | 8811 AMERICAN WAY #150
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City | ENGLEWOOD
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State | CO
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Zip | 80112
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Country | US
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Telephone | 303-254-8169
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Fax | 303-432-9310
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. DAVID TREVARTHEN
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Credential | M.D.
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Telephone | 303-254-8169
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251F00000X
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Taxonomy Name | Home Infusion Agency
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License Number |
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License Number State |
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