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General NPI Number Information
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NPI Number | 1508007519
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Entity Type | Organization
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Legal Business Name | FRONT RANGE PRIMARY CARE PARTNERS LLC
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Dates
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Enumeration Date | 03/20/2009
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Last Update Date | 03/20/2009
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Provider Practice Location Address
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Address Line | 2761 W 120TH AVE
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City | WESTMINSTER
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State | CO
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Zip | 80234-2975
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Country | US
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Telephone | 720-331-9238
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Fax |
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Provider Business Mailing Address
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Address Line | 1900 GRANT ST STE 1000
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City | DENVER
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State | CO
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Zip | 80203-4301
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. CHRIS REHM
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Credential |
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Telephone | 303-407-0508
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number |
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License Number State |
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