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General NPI Number Information
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NPI Number | 1497087571
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Entity Type | Organization
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Legal Business Name | PRIMARY CARE MEDICINE
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Dates
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Enumeration Date | 02/01/2010
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Last Update Date | 02/01/2010
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Provider Practice Location Address
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Address Line | 11175 E MISSISSIPPI AVE SUITE 220
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City | AURORA
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State | CO
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Zip | 80012-3137
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Country | US
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Telephone | 303-341-4422
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Fax | 720-389-5849
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Provider Business Mailing Address
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Address Line | 11175 E MISSISSIPPI AVE SUITE 220
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City | AURORA
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State | CO
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Zip | 80012-3137
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Country | US
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Telephone | 303-341-4422
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Fax | 720-389-5849
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Authorized Official
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Title or Position | OWNER
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Name | DR. SUNG Y RHIM
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Credential | M.D.
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Telephone | 303-341-4422
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number | 27322
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License Number State | CO
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