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General NPI Number Information
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NPI Number | 1275181976
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Entity Type | Organization
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Legal Business Name | DENNIS KOTELKO MD INC
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Dates
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Enumeration Date | 08/27/2019
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Last Update Date | 08/27/2019
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Provider Practice Location Address
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Address Line | 8400 E PRENTICE AVE STE 800
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City | GREENWOOD VILLAGE
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State | CO
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Zip | 80111-2952
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Country | US
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Telephone | 720-480-9500
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Fax |
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Provider Business Mailing Address
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Address Line | 8400 E PRENTICE AVE STE 800
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City | GREENWOOD VILLAGE
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State | CO
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Zip | 80111-2952
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Country | US
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Telephone | 720-480-9500
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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 | DENNIS KOTELKO
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Credential |
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Telephone | 303-726-1413
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number |
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License Number State |
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