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General NPI Number Information
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NPI Number | 1194145656
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Entity Type | Organization
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Legal Business Name | MILE HIGH WOUND AND HYPERBARIC MEDICINE PLLC
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Dates
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Enumeration Date | 04/23/2014
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Last Update Date | 04/23/2014
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Provider Practice Location Address
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Address Line | 12065 W AUBURN DR
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City | LAKEWOOD
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State | CO
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Zip | 80228-4765
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Country | US
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Telephone | 706-202-7433
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Fax |
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Provider Business Mailing Address
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Address Line | 12065 W AUBURN DR
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City | LAKEWOOD
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State | CO
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Zip | 80228-4765
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | NELU DANIEL COJANU
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Credential | MD
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Telephone | 706-202-7433
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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 | 0051390
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License Number State | CO
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