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General NPI Number Information
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NPI Number | 1396325114
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Entity Type | Individual
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Provider Name | BRANDON FLOCK MD
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Gender | Male
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Dates
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Enumeration Date | 04/14/2021
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Last Update Date | 07/05/2024
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Provider Practice Location Address
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Address Line | 1700 N MARION ST
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City | DENVER
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State | CO
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Zip | 80218-1121
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Country | US
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Telephone | 303-860-7770
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Fax | 303-860-7775
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Provider Business Mailing Address
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Address Line | 2695 ROCKY MOUNTAIN AVE STE 150
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City | LOVELAND
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State | CO
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Zip | 80538-9071
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Country | US
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Telephone | 970-624-2422
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Fax | 970-490-4155
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | DR.0070969
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License Number State | CO
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