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NPI 1396374351

NPI 1396374351 : VASCULAR LABS OF THE ROCKIES PLLC : DENVER, CO

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General NPI Number Information
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    NPI Number           |    1396374351
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    Entity Type          |    Organization 
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    Legal Business Name  |    VASCULAR LABS OF THE ROCKIES PLLC 
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Dates
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    Enumeration Date     |    04/02/2020
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    Last Update Date     |    08/20/2025
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Provider Practice Location Address
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    Address Line         |    4105 E FLORIDA AVE 
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    City                 |    DENVER
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    State                |    CO
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    Zip                  |    80222-3620
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    Country              |    US
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    Telephone            |    303-539-0736
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    Fax                  |    303-539-0737
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Provider Business Mailing Address
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    Address Line         |    4105 E FLORIDA AVE STE 100 
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    City                 |    DENVER
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    State                |    CO
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    Zip                  |    80222-3636
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    Country              |    US
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    Telephone            |    303-539-0736
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    Fax                  |    303-539-0737
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Authorized Official
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    Title or Position    |    BUSINESS OFFICE SUPERVISOR
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    Name                 |     DESIREE  ROBERTS 
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    Credential           |    
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    Telephone            |    720-880-7839
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    305S00000X
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    Taxonomy Name        |    Point of Service
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    License Number       |    
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    License Number State |    
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