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General NPI Number Information
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NPI Number | 1164415691
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Entity Type | Individual
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Provider Name | DAVID R CONWAY MD
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Gender | Male
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Dates
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Enumeration Date | 08/30/2005
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Last Update Date | 11/23/2020
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Provider Practice Location Address
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Address Line | 7780 S BROADWAY SUITE 100
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City | LITTLETON
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State | CO
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Zip | 80122-2648
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Country | US
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Telephone | 303-798-9996
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Fax | 303-730-1145
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Provider Business Mailing Address
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Address Line | 205 S GARRISON ST
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City | LAKEWOOD
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State | CO
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Zip | 80226-2843
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Country | US
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Telephone | 720-728-5170
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Fax | 720-866-9967
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 37704
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License Number State | CO
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