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General NPI Number Information
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NPI Number | 1568840726
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Entity Type | Organization
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Legal Business Name | CRITICAL CARE PULMONARY & SLEEP ASSOC. PROF LLP
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Dates
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Enumeration Date | 05/08/2015
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Last Update Date | 05/08/2015
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Provider Practice Location Address
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Address Line | 274 UNION BLVD SUITE 110
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City | LAKEWOOD
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State | CO
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Zip | 80228-1813
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Country | US
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Telephone | 303-951-0600
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Fax | 303-951-0605
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Provider Business Mailing Address
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Address Line | 274 UNION BLVD SUITE 110
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City | LAKEWOOD
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State | CO
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Zip | 80228-1813
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Country | US
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Telephone | 303-951-0600
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Fax | 303-951-0605
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Authorized Official
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Title or Position | CLINIC INFORMATICS / PROJECT MANANA
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Name | JODI K SARACINO
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Credential | RN
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Telephone | 303-951-0592
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QS1200X
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Taxonomy Name | Sleep Disorder Diagnostic Clinic/Center
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 261QM2500X
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Taxonomy Name | Medical Specialty Clinic/Center
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License Number |
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License Number State |
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