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General NPI Number Information
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NPI Number | 1407206725
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Entity Type | Organization
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Legal Business Name | INTERNAL MEDICINE CENTER
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Dates
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Enumeration Date | 06/17/2016
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Last Update Date | 01/31/2025
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Provider Practice Location Address
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Address Line | 8210 SOUTHPARK TER
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City | LITTLETON
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State | CO
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Zip | 80120-5614
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Country | US
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Telephone | 303-345-8291
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Fax | 720-914-1010
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Provider Business Mailing Address
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Address Line | 9301 POUNDSTONE PL
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City | GREENWOOD VILLAGE
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State | CO
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Zip | 80111-3410
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Country | US
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Telephone | 303-345-8291
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Fax | 720-914-1010
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Authorized Official
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Title or Position | OWNER
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Name | DR. JOSHUA PORTNOY
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Credential |
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Telephone | 303-345-8291
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number |
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License Number State | CO
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