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General NPI Number Information
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NPI Number | 1144287269
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Entity Type | Organization
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Legal Business Name | ROCKY MOUNTAIN REHABILITAION MEDICINE, PC
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Dates
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Enumeration Date | 05/01/2006
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Last Update Date | 06/10/2008
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Provider Practice Location Address
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Address Line | 4500 E 9TH AVE #150
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City | DENVER
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State | CO
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Zip | 80220-3900
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Country | US
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Telephone | 303-333-4559
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Fax | 303-333-0057
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Provider Business Mailing Address
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Address Line | 4500 E 9TH AVE #150
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City | DENVER
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State | CO
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Zip | 80220-3900
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Country | US
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Telephone | 303-333-4559
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Fax | 303-333-0057
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Authorized Official
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Title or Position | MD/OWNER
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Name | DR. YECHIEL KLEEN
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Credential | MD
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Telephone | 303-333-4559
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number |
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License Number State | CO
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