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NPI 1518589845

NPI 1518589845 : EMC, PLLC : DENVER, CO

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General NPI Number Information
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    NPI Number           |    1518589845
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    Entity Type          |    Organization 
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    Legal Business Name  |    EMC, PLLC 
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Dates
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    Enumeration Date     |    05/08/2020
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    Last Update Date     |    06/17/2020
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Provider Practice Location Address
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    Address Line         |    3729 W 32ND AVE 
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    City                 |    DENVER
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    State                |    CO
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    Zip                  |    80211-3121
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    Country              |    US
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    Telephone            |    720-239-2498
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    PO BOX 40128 
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    City                 |    DENVER
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    State                |    CO
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    Zip                  |    80204-0128
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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    |    OWNER/PA
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    Name                 |     AARON  LEWIS 
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    Credential           |    
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    Telephone            |    720-239-2498
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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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