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General NPI Number Information
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NPI Number | 1164532305
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Entity Type | Organization
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Legal Business Name | HCA-HEALTHONE, LLC
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Dates
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Enumeration Date | 08/30/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 4500 E 9TH AVE SUITE 220
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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 | 303-399-0061
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Fax | 303-399-2198
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Provider Business Mailing Address
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Address Line | 4500 E 9TH AVE SUITE 220
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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 | 303-399-0061
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Fax | 303-399-2198
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Authorized Official
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Title or Position | M.D.
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Name | DAVID A GORDON
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Credential | M.D.
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Telephone | 303-399-0061
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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 | 40354
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License Number State | CO
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