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General NPI Number Information
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NPI Number | 1093906760
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Entity Type | Organization
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Legal Business Name | ALPINE NEUROLOGY, PC
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Dates
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Enumeration Date | 08/07/2007
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Last Update Date | 10/11/2017
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Provider Practice Location Address
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Address Line | 13111 E BRIARWOOD AVE STE 200
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City | CENTENNIAL
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State | CO
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Zip | 80112-3846
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Country | US
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Telephone | 303-493-1922
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Fax |
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Provider Business Mailing Address
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Address Line | 1601 E 19TH AVE SUITE 4400
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City | DENVER
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State | CO
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Zip | 80218-1216
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Country | US
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Telephone | 303-839-6279
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Fax |
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Authorized Official
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Title or Position | BILLING MANAGER
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Name | MRS. LEE RUSSO
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Credential |
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Telephone | 303-839-6279
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2084N0400X
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Taxonomy Name | Neurology Physician
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License Number | 32094
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License Number State | CO
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