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General NPI Number Information
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NPI Number | 1326032418
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Entity Type | Organization
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Legal Business Name | CORNEAL CONSULTANTS OF COLORADO PC
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Dates
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Enumeration Date | 09/06/2005
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Last Update Date | 08/19/2021
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Provider Practice Location Address
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Address Line | 1501 W MINERAL AVE STE 100
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City | LITTLETON
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State | CO
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Zip | 80120-5612
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Country | US
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Telephone | 303-730-8024
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Fax | 303-730-6163
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Provider Business Mailing Address
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Address Line | 1501 W MINERAL AVE STE 100
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City | LITTLETON
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State | CO
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Zip | 80120-5612
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Country | US
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Telephone | 303-730-8024
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Fax | 303-730-6163
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Authorized Official
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Title or Position | REVENUE MANAGER
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Name | MR. MARTIN RIOS
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Credential |
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Telephone | 303-730-0404
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332H00000X
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Taxonomy Name | Eyewear Supplier
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License Number |
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License Number State |
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