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General NPI Number Information
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NPI Number | 1306511605
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Entity Type | Organization
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Legal Business Name | BOONE HEART INSTITUTE, INC.
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Dates
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Enumeration Date | 08/10/2021
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Last Update Date | 08/10/2021
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Provider Practice Location Address
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Address Line | 7355 E ORCHARD RD STE 100
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City | GREENWOOD VILLAGE
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State | CO
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Zip | 80111-2511
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Country | US
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Telephone | 303-762-0710
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Fax | 303-806-9533
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Provider Business Mailing Address
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Address Line | 7355 E ORCHARD RD STE 100
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City | GREENWOOD VILLAGE
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State | CO
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Zip | 80111-2511
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Country | US
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Telephone | 303-762-0710
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Fax | 303-806-9533
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Authorized Official
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Title or Position | DIRECTOR OF BUSINESS DEVELOPMENT
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Name | TYLER BOONE
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Credential |
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Telephone | 720-470-4219
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 207RC0000X
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Taxonomy Name | Cardiovascular Disease Physician
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License Number |
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License Number State |
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