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General NPI Number Information
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NPI Number | 1457658197
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Entity Type | Organization
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Legal Business Name | ROCKY MOUNTAIN SLEEP ASSOCIATES LLC
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Dates
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Enumeration Date | 02/15/2011
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Last Update Date | 11/19/2014
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Provider Practice Location Address
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Address Line | 12213 PECOS ST STE 500
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City | WESTMINSTER
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State | CO
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Zip | 80234-3416
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Country | US
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Telephone | 720-583-0537
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Fax |
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Provider Business Mailing Address
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Address Line | 12213 PECOS ST STE 500
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City | WESTMINSTER
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State | CO
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Zip | 80234-3416
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Country | US
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Telephone | 720-583-0537
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MR. BRADFORD RAY WATKINS
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Credential | RPSGT
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Telephone | 720-583-0537
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QS1200X
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Taxonomy Name | Sleep Disorder Diagnostic Clinic/Center
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License Number |
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License Number State |
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