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General NPI Number Information
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NPI Number | 1235269895
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Entity Type | Organization
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Legal Business Name | ROCKY MOUNTAIN GYNECOLOGIC ONCOLOGY,P.C.
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Dates
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Enumeration Date | 03/06/2007
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Last Update Date | 05/13/2013
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Provider Practice Location Address
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Address Line | 701 E HAMPDEN AVE STE 210
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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 | 303-781-9090
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Fax |
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Provider Business Mailing Address
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Address Line | 701 E HAMPDEN AVE STE 210
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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 | 303-781-9090
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | KEVIN P DAVIS
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Credential | MD
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Telephone | 303-781-9090
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207VX0201X
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Taxonomy Name | Gynecologic Oncology Physician
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License Number |
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License Number State |
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