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General NPI Number Information
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NPI Number | 1396103420
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Entity Type | Organization
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Legal Business Name | ASC DENVER WEST LLC
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Dates
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Enumeration Date | 02/03/2016
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Last Update Date | 02/09/2016
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Provider Practice Location Address
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Address Line | 13402 W COAL MINE AVE SUITE 300
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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 | 303-578-0937
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Fax | 720-302-1755
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Provider Business Mailing Address
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Address Line | 201 FILLMORE ST SUITE 201
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City | DENVER
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State | CO
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Zip | 80206-5022
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Country | US
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Telephone | 303-578-0937
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Fax | 720-302-1755
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Authorized Official
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Title or Position | CLINICAL DIRECTOR
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Name | TAMMY ROBERTS
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Credential | RN, BSN, CASC
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Telephone | 303-578-0937
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QA1903X
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Taxonomy Name | Ambulatory Surgical Clinic/Center
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License Number |
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License Number State |
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