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General NPI Number Information
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NPI Number | 1487018750
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Entity Type | Individual
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Provider Name | MATTHEW KOSLOW M.D.
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Gender | Male
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Dates
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Enumeration Date | 04/12/2016
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Last Update Date | 08/14/2019
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Provider Practice Location Address
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Address Line | 1400 JACKSON ST
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City | DENVER
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State | CO
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Zip | 80206
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Country | US
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Telephone | 303-388-4461
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Fax | 303-270-2174
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Provider Business Mailing Address
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Address Line | 1400 JACKSON ST
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City | DENVER
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State | CO
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Zip | 80206-2762
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Country | US
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Telephone | 303-388-4461
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Fax | 303-270-2174
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RP1001X
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Taxonomy Name | Pulmonary Disease Physician
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License Number | 238716-1
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 207RP1001X
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Taxonomy Name | Pulmonary Disease Physician
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License Number | 60484
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License Number State | MN
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Taxonomy #3
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 62725
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License Number State | CO
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