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General NPI Number Information
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NPI Number | 1467042747
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Entity Type | Organization
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Legal Business Name | VERITAS MEN'S CLINIC
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Dates
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Enumeration Date | 01/21/2021
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Last Update Date | 01/21/2021
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Provider Practice Location Address
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Address Line | 215 UNION BLVD STE 320
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City | LAKEWOOD
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State | CO
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Zip | 80228-1839
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Country | US
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Telephone | 720-450-1690
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Fax | 720-453-2859
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Provider Business Mailing Address
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Address Line | 215 UNION BLVD STE 320
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City | LAKEWOOD
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State | CO
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Zip | 80228-1839
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Country | US
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Telephone | 720-450-1690
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Fax | 720-453-2859
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Authorized Official
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Title or Position | OWNER
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Name | MR. JAMES DAVID THOMAS
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Credential | PA
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Telephone | 720-450-1690
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2083P0901X
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Taxonomy Name | Public Health & General Preventive Medicine Physician
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License Number |
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License Number State |
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