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General NPI Number Information
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NPI Number | 1407821960
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Entity Type | Individual
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Provider Name | ERIN C PRENGER D.O.
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Gender | Male
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Dates
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Enumeration Date | 02/20/2006
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Last Update Date | 09/29/2010
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Provider Practice Location Address
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Address Line | 10700 E. GEDDES AVE SUITE 200 ATTN CREDENTIALING
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City | ENGLEWOOD
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State | CO
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Zip | 80112
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Country | US
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Telephone | 303-761-9190
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Fax | 303-761-6278
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Provider Business Mailing Address
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Address Line | 10700 E. GEDDES AVE SUITE 200 ATTN CREDENTIALING
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City | ENGLEWOOD
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State | CO
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Zip | 80112
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Country | US
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Telephone | 303-761-9190
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Fax | 303-761-6278
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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 | 2085N0700X
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Taxonomy Name | Neuroradiology Physician
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License Number | 3484
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License Number State | AZ
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Taxonomy #2
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Taxonomy Code | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number | 3484
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License Number State | AZ
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Taxonomy #3
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Taxonomy Code | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number | 32827
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License Number State | CO
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