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General NPI Number Information
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NPI Number | 1568686590
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Entity Type | Organization
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Legal Business Name | THOMAS C. RIBOVICH, MD PC
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Dates
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Enumeration Date | 04/12/2007
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Last Update Date | 07/20/2007
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Provider Practice Location Address
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Address Line | 14100 E ARAPAHOE RD STE 390
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City | CENTENNIAL
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State | CO
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Zip | 80112-4048
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Country | US
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Telephone | 303-493-1928
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Fax | 303-493-1927
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Provider Business Mailing Address
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Address Line | 14100 E ARAPAHOE RD STE 390
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City | CENTENNIAL
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State | CO
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Zip | 80112-4048
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Country | US
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Telephone | 303-493-1928
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Fax | 303-493-1927
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. THOMAS CHARLES RIBOVICH
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Credential | MD
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Telephone | 303-493-1928
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207T00000X
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Taxonomy Name | Neurological Surgery Physician
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License Number | 29656
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License Number State | CO
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