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General NPI Number Information
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NPI Number | 1225144413
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Entity Type | Organization
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Legal Business Name | FRONT RANGE WOMENS HEALTH PC
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Dates
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Enumeration Date | 08/22/2006
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Last Update Date | 04/29/2008
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Provider Practice Location Address
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Address Line | 701 E HAMPDEN AVE SUITE 120
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City | ENGLEWOOD
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State | CO
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Zip | 80113-2736
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Country | US
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Telephone | 303-788-1325
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Fax | 303-781-5809
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Provider Business Mailing Address
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Address Line | 701 E HAMPDEN AVE SUITE 120
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City | ENGLEWOOD
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State | CO
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Zip | 80113-2736
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Country | US
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Telephone | 303-788-1325
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Fax | 303-781-5809
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Authorized Official
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Title or Position | OWNER/PHYSICIAN
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Name | CYNTHIA MARTIN
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Credential | MD
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Telephone | 303-788-5483
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number | 28839
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License Number State | CO
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