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General NPI Number Information
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NPI Number | 1205283629
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Entity Type | Organization
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Legal Business Name | FOOTHILLS INTEGRATED HEALTH SYSTEMS, LLC
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Dates
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Enumeration Date | 05/16/2016
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Last Update Date | 06/03/2020
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Provider Practice Location Address
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Address Line | 7761 SHAFFER PKWY STE 225
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City | LITTLETON
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State | CO
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Zip | 80127-3729
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Country | US
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Telephone | 303-862-1504
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Fax | 303-933-9431
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Provider Business Mailing Address
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Address Line | 6241 W ARBOR AVE
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City | LITTLETON
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State | CO
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Zip | 80123-3822
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Country | US
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Telephone | 303-720-9369
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Fax | 303-933-9431
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. DARCY KOEHN
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Credential | DC, FNP
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Telephone | 37-209-3693
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | APN.0992915-NP
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License Number State | CO
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Taxonomy #2
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | DR.0051221
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License Number State | CO
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