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General NPI Number Information
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NPI Number | 1134429699
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Entity Type | Organization
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Legal Business Name | ONPOINT MEDICAL GROUP, LLC
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Dates
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Enumeration Date | 10/29/2010
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Last Update Date | 10/26/2022
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Provider Practice Location Address
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Address Line | 19641 E PARKER SQUARE DR STE E
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City | PARKER
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State | CO
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Zip | 80134-7399
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Country | US
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Telephone | 303-805-2222
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Fax | 303-805-2255
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Provider Business Mailing Address
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Address Line | 1805 SHEA CENTER DR STE 450
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City | HIGHLANDS RANCH
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State | CO
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Zip | 80129-2255
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Country | US
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Telephone | 303-357-2559
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Fax |
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Authorized Official
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Title or Position | CREDENTIALING SUPERVISOR
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Name | KARIN D WHITEHEAD
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Credential |
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Telephone | 303-357-2559
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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 | 35903
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License Number State | CO
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