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General NPI Number Information
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NPI Number | 1336715283
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Entity Type | Organization
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Legal Business Name | DENVER FAMILY VISION CARE, LLC
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Dates
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Enumeration Date | 06/01/2021
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Last Update Date | 06/01/2021
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Provider Practice Location Address
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Address Line | 9390 W CROSS DR
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City | LITTLETON
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State | CO
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Zip | 80123-2202
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Country | US
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Telephone | 720-922-1539
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Fax | 720-922-1542
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Provider Business Mailing Address
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Address Line | 16350 W ELLSWORTH AVE
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City | GOLDEN
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State | CO
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Zip | 80401-6544
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Country | US
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Telephone | 720-209-5395
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Fax |
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Authorized Official
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Title or Position | OWNER/DOCTOR
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Name | MEGAN BORDEN
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Credential | OD
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Telephone | 720-209-5395
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM2500X
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Taxonomy Name | Medical Specialty Clinic/Center
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License Number |
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License Number State |
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