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General NPI Number Information
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NPI Number | 1457549461
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Entity Type | Organization
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Legal Business Name | HEALTHONE CLINIC SERVICES - MEDICAL SPECIALTIES LLC
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Dates
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Enumeration Date | 10/04/2007
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Last Update Date | 11/24/2025
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Provider Practice Location Address
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Address Line | 1601 E 19TH AVE STE 4350
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City | DENVER
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State | CO
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Zip | 80218-1253
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Country | US
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Telephone | 303-228-1240
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Fax |
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Provider Business Mailing Address
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Address Line | 2000 HEALTH PARK DR
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City | BRENTWOOD
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State | TN
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Zip | 37027-4692
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Country | US
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Telephone | 615-373-7406
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Fax |
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Authorized Official
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Title or Position | VP
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Name | THOMAS FENDER
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Credential |
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Telephone | 303-584-8111
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number |
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License Number State |
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