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General NPI Number Information
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NPI Number | 1376582767
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Entity Type | Organization
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Legal Business Name | SOUTH DENVER ANESTHESIOLOGISTS PC
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Dates
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Enumeration Date | 06/04/2006
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Last Update Date | 02/17/2016
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Provider Practice Location Address
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Address Line | 333 W. HAMPDEN AVE. SUITE 600
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City | ENGLEWOOD
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State | CO
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Zip | 80110-2336
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Country | US
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Telephone | 303-761-5646
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Fax | 720-439-9500
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Provider Business Mailing Address
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Address Line | 333 W. HAMPDEN AVE. SUITE 600
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City | ENGLEWOOD
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State | CO
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Zip | 80110-2336
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Country | US
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Telephone | 303-761-5646
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Fax | 720-439-9500
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Authorized Official
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Title or Position | CREDENTIALING MANAGER
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Name | LEORA J. BREWER
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Credential |
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Telephone | 303-783-4908
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number |
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License Number State | CO
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