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General NPI Number Information
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NPI Number | 1205467842
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Entity Type | Organization
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Legal Business Name | TARA HEALTHCARE LLC
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Dates
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Enumeration Date | 02/03/2020
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Last Update Date | 11/19/2024
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Provider Practice Location Address
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Address Line | 1441 WAZEE ST APT 301
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City | DENVER
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State | CO
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Zip | 80202-5952
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Country | US
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Telephone | 800-935-2305
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Fax | 747-999-8827
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Provider Business Mailing Address
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Address Line | 1441 WAZEE STREET 301
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City | DENVER
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State | CO
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Zip | 80202-1625
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Country | US
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Telephone |
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Fax | 747-999-8827
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Authorized Official
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Title or Position | CEO
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Name | MARCUS HANSEN
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Credential |
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Telephone | 970-560-3659
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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 |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 2083A0300X
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Taxonomy Name | Addiction Medicine (Preventive Medicine) Physician
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 246Y00000X
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Taxonomy Name | Health Information Specialist/Technologist
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 246YC3302X
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Taxonomy Name | Physician Office Based Coding Specialist
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 246Z00000X
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Taxonomy Name | Other Specialist/Technologist
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License Number |
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License Number State |
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Taxonomy #6
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Taxonomy Code | 247000000X
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Taxonomy Name | Health Information Technician
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License Number |
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License Number State |
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Taxonomy #7
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Taxonomy Code | 207QA0401X
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Taxonomy Name | Addiction Medicine (Family Medicine) Physician
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License Number |
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License Number State |
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