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General NPI Number Information
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NPI Number | 1518119106
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Entity Type | Organization
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Legal Business Name | JAMES R REGAN MD PC
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Dates
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Enumeration Date | 10/15/2008
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Last Update Date | 08/21/2023
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Provider Practice Location Address
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Address Line | 7261 S BROADWAY STE 101B
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City | LITTLETON
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State | CO
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Zip | 80122-8017
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Country | US
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Telephone | 303-791-8346
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Fax | 303-683-5773
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Provider Business Mailing Address
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Address Line | 7261 S BROADWAY STE 101B
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City | LITTLETON
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State | CO
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Zip | 80122-8017
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Country | US
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Telephone | 303-791-8346
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Fax | 303-683-5773
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. JAMES ROBERT REGAN
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Credential | MD
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Telephone | 303-791-8346
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 25811
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License Number State | CO
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