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General NPI Number Information
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NPI Number | 1124269311
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Entity Type | Organization
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Legal Business Name | COLORADO SLEEP &PULMONARY PC
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Dates
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Enumeration Date | 03/17/2009
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Last Update Date | 03/17/2009
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Provider Practice Location Address
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Address Line | 1601 E 19TH AVE #3550
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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 | 303-832-2955
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Fax | 303-832-2954
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Provider Business Mailing Address
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Address Line | 1601 E 19TH AVE #3550
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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 | 303-832-2955
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Fax | 303-832-2954
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Authorized Official
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Title or Position | OWNER
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Name | DR. ROBERT D BALLARD
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Credential | MD
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Telephone | 303-832-2955
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number |
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License Number State |
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