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General NPI Number Information
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NPI Number | 1407805351
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Entity Type | Organization
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Legal Business Name | FRONT RANGE CANCER SPECIALISTS PC
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Dates
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Enumeration Date | 05/09/2006
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Last Update Date | 07/31/2013
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Provider Practice Location Address
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Address Line | 2315 E HARMONY RD #110
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City | FORT COLLINS
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State | CO
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Zip | 80528-8620
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Country | US
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Telephone | 970-212-7600
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Fax | 970-212-7637
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Provider Business Mailing Address
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Address Line | 2315 E HARMONY RD #110
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City | FORT COLLINS
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State | CO
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Zip | 80528-8620
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Country | US
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Telephone | 970-212-7600
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Fax | 970-212-7637
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Authorized Official
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Title or Position | CEO
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Name | JULIUS (GYULA) MEDGYESY
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Credential |
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Telephone | 970-212-7600
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number | 38494
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License Number State | CO
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