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General NPI Number Information
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NPI Number | 1124002456
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Entity Type | Individual
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Provider Name | DOUGLAS M REZNICK MD
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Gender | Male
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Dates
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Enumeration Date | 11/30/2005
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Last Update Date | 02/17/2025
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Provider Practice Location Address
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Address Line | 1700 S POTOMAC ST
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City | AURORA
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State | CO
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Zip | 80012-5405
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Country | US
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Telephone | 303-418-7600
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Fax | 303-750-3137
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Provider Business Mailing Address
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Address Line | 7951 E MAPLEWOOD AVE STE 350
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City | GREENWOOD VILLAGE
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State | CO
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Zip | 80111-4758
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Country | US
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Telephone | 303-930-7895
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Fax | 832-601-6018
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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 | 207RH0003X
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Taxonomy Name | Hematology & Oncology Physician
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License Number | DR.0034032
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License Number State | CO
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