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General NPI Number Information
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NPI Number | 1144407164
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Entity Type | Organization
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Legal Business Name | MILE HIGH GASTROENTEROLOGY,P.C.
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Dates
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Enumeration Date | 01/22/2008
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Last Update Date | 01/22/2008
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Provider Practice Location Address
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Address Line | 2005 FRANKLIN ST STE 210
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City | DENVER
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State | CO
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Zip | 80205-5403
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Country | US
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Telephone | 303-861-4500
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Fax | 303-863-1320
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Provider Business Mailing Address
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Address Line | 2005 FRANKLIN ST STE 210
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City | DENVER
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State | CO
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Zip | 80205-5403
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Country | US
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Telephone | 303-861-4500
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Fax | 303-863-1320
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. THOMAS A. REED
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Credential | M.D.
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Telephone | 303-861-4500
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RG0100X
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Taxonomy Name | Gastroenterology Physician
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License Number | 21059
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License Number State | CO
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