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General NPI Number Information
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NPI Number | 1497938799
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Entity Type | Organization
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Legal Business Name | PAUL E CUTARELLI MD PROFESSIONAL LLC
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Dates
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Enumeration Date | 12/10/2007
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Last Update Date | 09/16/2013
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Provider Practice Location Address
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Address Line | 7887 E BELLEVIEW AVE #180
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City | ENGLEWOOD
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State | CO
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Zip | 80111-6015
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Country | US
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Telephone | 303-486-2020
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Fax | 303-221-3434
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Provider Business Mailing Address
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Address Line | 7887 E BELLEVIEW AVE #180
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City | ENGLEWOOD
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State | CO
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Zip | 80111-6015
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Country | US
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Telephone | 303-486-2020
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Fax | 303-221-3434
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Authorized Official
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Title or Position | OWNER/SURGEON
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Name | DR. PAUL EZIO CUTARELLI
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Credential | M.D.
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Telephone | 303-486-2020
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207W00000X
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Taxonomy Name | Ophthalmology Physician
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License Number | 38485
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License Number State | CO
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