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General NPI Number Information
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NPI Number | 1336587567
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Entity Type | Individual
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Provider Name | LEE MARIE ROSACCI D.O.
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Gender | Female
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Dates
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Enumeration Date | 06/10/2013
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Last Update Date | 09/16/2021
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Provider Practice Location Address
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Address Line | 13402 W COAL MINE AVE STE 230
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City | LITTLETON
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State | CO
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Zip | 80127-5407
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Country | US
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Telephone | 720-730-2167
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Fax |
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Provider Business Mailing Address
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Address Line | 365 W OXFORD AVE
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City | ENGLEWOOD
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State | CO
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Zip | 80110-4569
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Country | US
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Telephone | 626-376-2753
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | DR.0056788
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License Number State | CO
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