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General NPI Number Information
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NPI Number | 1376747972
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Entity Type | Organization
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Legal Business Name | GREGORY D. DENZEL, DO
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Dates
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Enumeration Date | 06/14/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 2928 W 10TH ST
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City | GREELEY
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State | CO
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Zip | 80634-5426
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Country | US
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Telephone | 970-351-8181
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Fax | 970-351-0281
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Provider Business Mailing Address
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Address Line | 2928 W 10TH ST
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City | GREELEY
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State | CO
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Zip | 80634-5426
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Country | US
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Telephone | 970-351-8181
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Fax | 970-351-0281
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Authorized Official
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Title or Position | OWNER
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Name | DR. GREGORY D DENZEL
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Credential | DO
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Telephone | 970-351-8181
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QU0200X
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Taxonomy Name | Urgent Care Clinic/Center
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License Number | 32068
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License Number State | CO
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