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General NPI Number Information
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NPI Number | 1447565643
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Entity Type | Organization
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Legal Business Name | MAURINE C. ONAT MD PC
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Dates
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Enumeration Date | 08/11/2010
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Last Update Date | 08/11/2010
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Provider Practice Location Address
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Address Line | 1501 S GAYLORD ST
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City | DENVER
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State | CO
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Zip | 80210-2800
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Country | US
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Telephone | 303-733-3660
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Fax | 303-968-9619
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Provider Business Mailing Address
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Address Line | 1501 S GAYLORD ST
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City | DENVER
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State | CO
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Zip | 80210-2800
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Country | US
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Telephone | 303-733-3660
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Fax | 303-698-9619
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Authorized Official
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Title or Position | OFFICE MANAGER
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Name | MS. JANET MCKINLEY
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Credential |
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Telephone | 303-733-3660
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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 | 21802
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License Number State | CO
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