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General NPI Number Information
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NPI Number | 1528922606
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Entity Type | Individual
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Provider Name | VITALY OLEG KHEYFETS
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Gender | Male
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Dates
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Enumeration Date | 12/12/2025
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Last Update Date | 12/12/2025
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Provider Practice Location Address
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Address Line | RESEARCH COMPLEX 2 12700 E. 19TH AVE.
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City | AURORA
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State | CO
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Zip | 80045
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Country | US
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Telephone | 720-848-0000
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Fax |
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Provider Business Mailing Address
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Address Line | 8560 E TEMPLE DR
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City | DENVER
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State | CO
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Zip | 80237-2960
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Country | US
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Telephone | 913-568-4408
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Fax |
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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 | 1744R1102X
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Taxonomy Name | Research Study Specialist
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License Number |
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License Number State |
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