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General NPI Number Information
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NPI Number | 1417003062
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Entity Type | Organization
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Legal Business Name | FRONT RANGE FAMILY EYECARE
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Dates
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Enumeration Date | 01/26/2007
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Last Update Date | 03/23/2009
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Provider Practice Location Address
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Address Line | 4920 S YOSEMITE ST STE C5
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City | GREENWOOD VILLAGE
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State | CO
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Zip | 80111-1352
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Country | US
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Telephone | 303-220-5100
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Fax |
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Provider Business Mailing Address
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Address Line | 4920 SOUTH YOSEMITE C5
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City | GREENWOOD VILLAGE
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State | CO
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Zip | 80111
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Country | US
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Telephone | 303-220-5100
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | KENT GODFREY
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Credential | O.D.
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Telephone | 303-220-5100
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 152W00000X
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Taxonomy Name | Optometrist
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License Number |
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License Number State |
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