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NPI 1518141761

NPI 1518141761 : HEALTHONE CLINIC SERVICES - PRIMARY CARE LLC : DENVER, CO

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General NPI Number Information
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    NPI Number           |    1518141761
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    Entity Type          |    Organization 
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    Legal Business Name  |    HEALTHONE CLINIC SERVICES - PRIMARY CARE LLC 
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Dates
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    Enumeration Date     |    12/24/2007
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    Last Update Date     |    11/24/2025
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Provider Practice Location Address
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    Address Line         |    4545 E 9TH AVE STE 400 
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    City                 |    DENVER
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    State                |    CO
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    Zip                  |    80220-3904
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    Country              |    US
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    Telephone            |    303-320-2929
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    Fax                  |    303-388-1865
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Provider Business Mailing Address
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    Address Line         |    2000 HEALTH PARK DR 
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    City                 |    BRENTWOOD
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    State                |    TN
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    Zip                  |    37027-4692
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    Country              |    US
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    Telephone            |    615-373-7406
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    Fax                  |    
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Authorized Official
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    Title or Position    |    VP
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    Name                 |     THOMAS  FENDER 
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    Credential           |    
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    Telephone            |    303-584-8111
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    261Q00000X
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    Taxonomy Name        |    Clinic/Center
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    License Number       |    
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    License Number State |    
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Taxonomy #2
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    Taxonomy Code        |    207R00000X
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    Taxonomy Name        |    Internal Medicine Physician
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    License Number       |    
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    License Number State |    
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Taxonomy #3
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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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