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General NPI Number Information
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NPI Number | 1457286544
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Entity Type | Organization
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Legal Business Name | MEDLOG LLC
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Dates
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Enumeration Date | 06/17/2026
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Last Update Date | 06/17/2026
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Provider Practice Location Address
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Address Line | 1701 CALIFORNIA ST
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City | DENVER
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State | CO
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Zip | 80202-3402
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Country | US
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Telephone | 551-350-2896
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Fax | 214-286-6037
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Provider Business Mailing Address
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Address Line | 1500 N GRANT ST # 10885
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City | DENVER
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State | CO
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Zip | 80203-1859
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Country | US
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Telephone | 551-350-2896
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Fax | 214-286-6037
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Authorized Official
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Title or Position | OWNER
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Name | RUBEN PEREZ
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Credential |
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Telephone | 551-350-2896
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332BD1200X
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Taxonomy Name | Dialysis Equipment & Supplies (DME)
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License Number |
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License Number State |
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