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General NPI Number Information
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NPI Number | 1184005308
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Entity Type | Organization
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Legal Business Name | HEALTHFIT MEDICAL PROFESSIONALS, LLC
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Dates
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Enumeration Date | 06/12/2015
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Last Update Date | 04/07/2017
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Provider Practice Location Address
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Address Line | 2356 MEADOWS BLVD SUITE 140B
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City | CASTLE ROCK
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State | CO
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Zip | 80109-8405
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Country | US
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Telephone | 303-218-7774
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Fax | 303-660-5065
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Provider Business Mailing Address
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Address Line | 2356 MEADOWS BLVD SUITE 140B
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City | CASTLE ROCK
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State | CO
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Zip | 80109-8405
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Country | US
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Telephone | 303-218-7774
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Fax | 303-660-5065
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Authorized Official
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Title or Position | OWNER
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Name | MARLOW PEREZ
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Credential | MD
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Telephone | 303-886-4440
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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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