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General NPI Number Information
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NPI Number | 1295927507
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Entity Type | Organization
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Legal Business Name | ELDORADO RETINA ASSOCIATES, P.C.
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Dates
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Enumeration Date | 08/10/2007
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Last Update Date | 08/10/2007
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Provider Practice Location Address
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Address Line | 90 HEALTH PARK DR SUITE 100
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City | LOUISVILLE
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State | CO
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Zip | 80027-9757
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Country | US
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Telephone | 303-666-1800
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Fax |
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Provider Business Mailing Address
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Address Line | 90 HEALTH PARK DR SUITE 100
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City | LOUISVILLE
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State | CO
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Zip | 80027-9757
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Country | US
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Telephone | 303-666-1800
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Fax |
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | MR. ANTHONY DAVID GREIF
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Credential |
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Telephone | 303-666-1800
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207W00000X
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Taxonomy Name | Ophthalmology Physician
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License Number |
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License Number State |
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