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General NPI Number Information
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NPI Number | 1104790294
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Entity Type | Organization
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Legal Business Name | 2ND HOME MEDICAL CENTER PLLC
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Dates
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Enumeration Date | 10/01/2025
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Last Update Date | 02/05/2026
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Provider Practice Location Address
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Address Line | 6880 E EVANS AVE
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City | DENVER
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State | CO
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Zip | 80224-2330
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Country | US
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Telephone | 303-999-7763
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Fax | 720-367-5443
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Provider Business Mailing Address
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Address Line | 3131 S VAUGHN WAY STE 600
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City | AURORA
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State | CO
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Zip | 80014-3508
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Country | US
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Telephone | 303-999-7763
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Fax | 720-367-5443
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Authorized Official
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Title or Position | PHYSICIAN
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Name | SAMI MITRI
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Credential | DO
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Telephone | 810-240-7859
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number |
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License Number State |
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