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General NPI Number Information
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NPI Number | 1427293471
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Entity Type | Organization
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Legal Business Name | C.J. TSAMASFYROS, M.D. LLC
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Dates
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Enumeration Date | 12/04/2008
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Last Update Date | 04/27/2017
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Provider Practice Location Address
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Address Line | 4500 E 9TH AVE SUITE 220
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City | DENVER
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State | CO
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Zip | 80220-3912
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Country | US
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Telephone | 303-322-2005
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Fax | 303-322-4408
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Provider Business Mailing Address
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Address Line | 4500 E 9TH AVE SUITE 220
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City | DENVER
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State | CO
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Zip | 80220-3912
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Country | US
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Telephone | 303-322-2005
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Fax | 303-322-4408
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Authorized Official
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Title or Position | MANAGER
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Name | CONSTANTINE J TSAMASFYROS
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Credential | MD
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Telephone | 303-322-2005
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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License Number | 17165
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License Number State | CO
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Taxonomy #2
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Taxonomy Code | 173000000X
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Taxonomy Name | Legal Medicine
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License Number | 17165
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License Number State | CO
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