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General NPI Number Information
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NPI Number | 1164237624
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Entity Type | Organization
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Legal Business Name | ROCKY MOUNTAIN PRIMARY CARE, PC
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Dates
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Enumeration Date | 02/11/2025
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Last Update Date | 02/11/2025
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Provider Practice Location Address
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Address Line | 8585 W 14TH AVE STE B-2
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City | LAKEWOOD
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State | CO
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Zip | 80215-4860
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Country | US
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Telephone | 303-238-1201
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Fax |
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Provider Business Mailing Address
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Address Line | 7625 W 92ND AVE
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City | BROOMFIELD
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State | CO
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Zip | 80021-4567
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Country | US
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Telephone | 303-252-7790
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Fax |
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Authorized Official
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Title or Position | VP REVENUE CYCLE
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Name | ROBIN CAMPBELL
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Credential |
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Telephone | 205-995-9909
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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 |
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License Number State |
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