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General NPI Number Information
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NPI Number | 1558388264
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Entity Type | Organization
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Legal Business Name | SHARON QUACH DPM PC
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Dates
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Enumeration Date | 07/17/2006
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Last Update Date | 12/13/2012
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Provider Practice Location Address
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Address Line | 12201 PECOS ST SUITE # 400
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City | WESTMINSTER
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State | CO
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Zip | 80234-3888
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Country | US
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Telephone | 303-469-9292
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Fax | 303-438-8951
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Provider Business Mailing Address
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Address Line | 12201 PECOS ST SUITE # 400
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City | WESTMINSTER
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State | CO
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Zip | 80234-3888
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Country | US
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Telephone | 303-469-9292
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Fax | 303-438-8951
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Authorized Official
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Title or Position | OWNER
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Name | DR. SHARON TRAN QUACH
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Credential | D.P.M
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Telephone | 303-469-9292
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 213ES0103X
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Taxonomy Name | Foot & Ankle Surgery Podiatrist
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License Number | 651
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License Number State | CO
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