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NPI 1528221645

NPI 1528221645 : ROBERT LUKAS HYNECEK M.D. : ENGLEWOOD, CO

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General NPI Number Information
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    NPI Number           |    1528221645
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    Entity Type          |    Individual 
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    Provider Name        |    ROBERT LUKAS HYNECEK M.D.
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    07/09/2008
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    Last Update Date     |    10/21/2024
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Provider Practice Location Address
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    Address Line         |    10800 E GEDDES AVE STE 300 
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    City                 |    ENGLEWOOD
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    State                |    CO
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    Zip                  |    80112-3895
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    Country              |    US
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    Telephone            |    303-761-9190
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    Fax                  |    720-874-4462
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Provider Business Mailing Address
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    Address Line         |    10800 E GEDDES AVE STE 300 
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    City                 |    ENGLEWOOD
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    State                |    CO
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    Zip                  |    80112-3895
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    Country              |    US
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    Telephone            |    303-761-9190
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    Fax                  |    720-874-4462
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Authorized Official
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    Title or Position    |    
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    Name                 |        
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    Credential           |    
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    Telephone            |    
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    2085D0003X
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    Taxonomy Name        |    Diagnostic Neuroimaging (Radiology) Physician
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    License Number       |    D0076335
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    License Number State |    MD
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Taxonomy #2
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    Taxonomy Code        |    2085R0202X
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    Taxonomy Name        |    Diagnostic Radiology Physician
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    License Number       |    258081
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    License Number State |    MA
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Taxonomy #3
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    Taxonomy Code        |    2085R0202X
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    Taxonomy Name        |    Diagnostic Radiology Physician
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    License Number       |    48216
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    License Number State |    CT
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Taxonomy #4
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    Taxonomy Code        |    2085R0202X
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    Taxonomy Name        |    Diagnostic Radiology Physician
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    License Number       |    DR.0073652
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    License Number State |    CO
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