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General NPI Number Information
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NPI Number | 1568056729
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Entity Type | Organization
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Legal Business Name | NATIONAL JEWISH NORTHERN HEMOTOLOGY ONCOLOGY (PHYSICIAN CLAIMS)
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Dates
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Enumeration Date | 02/26/2021
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Last Update Date | 02/26/2021
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Provider Practice Location Address
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Address Line | 9451 HURON ST
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City | THORNTON
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State | CO
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Zip | 80260-5426
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Country | US
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Telephone | 303-650-4042
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Fax | 303-650-4046
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Provider Business Mailing Address
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Address Line | 1400 JACKSON ST
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City | DENVER
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State | CO
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Zip | 80206-2761
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Country | US
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Telephone | 303-388-4461
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Fax | 303-398-1211
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Authorized Official
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Title or Position | MEDICAL STAFF SERIVCES
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Name | MS. VICKI MEDINA
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Credential | DIRECTOR
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Telephone | 303-388-4461
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QX0200X
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Taxonomy Name | Oncology Clinic/Center
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License Number |
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License Number State |
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