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General NPI Number Information
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NPI Number | 1144742016
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Entity Type | Organization
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Legal Business Name | DENVER SPRINGS PHYSICIAN GROUP LLC
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Dates
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Enumeration Date | 07/12/2017
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Last Update Date | 07/21/2022
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Provider Practice Location Address
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Address Line | 8835 AMERICAN WAY
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City | ENGLEWOOD
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State | CO
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Zip | 80112-7056
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Country | US
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Telephone | 720-643-4300
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Fax | 720-643-4301
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Provider Business Mailing Address
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Address Line | 101 S 5TH ST STE 3850
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City | LOUISVILLE
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State | KY
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Zip | 40202-3127
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Country | US
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Telephone | 412-588-3546
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Fax |
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Authorized Official
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Title or Position | EVO - CFO
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Name | GREG MILLER
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Credential |
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Telephone | 502-708-4693
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2084N0400X
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Taxonomy Name | Neurology Physician
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 208D00000X
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Taxonomy Name | General Practice Physician
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number |
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License Number State |
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