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General NPI Number Information
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NPI Number | 1104022342
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Entity Type | Individual
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Provider Name | LESLIE SHENKEL MD
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Gender | Female
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Dates
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Enumeration Date | 06/25/2007
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Last Update Date | 05/11/2011
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Provider Practice Location Address
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Address Line | 13650 E MISSISSIPPI AVE SUITE 100-B
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City | AURORA
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State | CO
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Zip | 80012-3561
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Country | US
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Telephone | 877-889-1522
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Fax |
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Provider Business Mailing Address
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Address Line | 350 DAHLIA ST
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City | DENVER
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State | CO
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Zip | 80220-5714
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Country | US
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Telephone | 303-388-5121
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Fax |
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 36554
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License Number State | CO
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