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General NPI Number Information
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NPI Number | 1366915209
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Entity Type | Organization
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Legal Business Name | DENISE V. LYONS
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Dates
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Enumeration Date | 01/03/2019
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Last Update Date | 10/26/2021
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Provider Practice Location Address
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Address Line | 3425 E 28TH AVE
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City | DENVER
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State | CO
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Zip | 80205-5025
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Country | US
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Telephone | 303-257-1938
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Fax |
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Provider Business Mailing Address
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Address Line | 20230 E 46TH PL
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City | DENVER
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State | CO
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Zip | 80249-7330
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Country | US
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Telephone | 303-307-4621
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Fax | 303-371-0923
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Authorized Official
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Title or Position | OWNER
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Name | MRS. DENISE V. LYONS
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Credential |
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Telephone | 303-257-1938
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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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 | 335E00000X
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Taxonomy Name | Prosthetic/Orthotic Supplier
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License Number |
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License Number State |
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