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General NPI Number Information
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NPI Number | 1225491103
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Entity Type | Organization
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Legal Business Name | THE ART OF DERMATOLOGY, LLC
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Dates
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Enumeration Date | 03/30/2016
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Last Update Date | 06/20/2016
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Provider Practice Location Address
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Address Line | 8200 E BELLEVIEW AVE SUITE 200C
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City | GREENWOOD VILLAGE
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State | CO
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Zip | 80111-2803
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Country | US
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Telephone | 303-770-3376
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Fax | 303-220-0712
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Provider Business Mailing Address
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Address Line | 5220 S ULSTER ST APT 2221
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City | GREENWOOD VILLAGE
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State | CO
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Zip | 80111-2962
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Country | US
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Telephone | 720-355-4088
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Fax |
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Authorized Official
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Title or Position | MD/ OWNER
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Name | DR. MARTI FRIEDNASH
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Credential | MD
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Telephone | 303-770-3376
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207N00000X
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Taxonomy Name | Dermatology Physician
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License Number |
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License Number State |
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