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NPI 1588213581

NPI 1588213581 : MYAPPSTOREBIZ : ENGLEWOOD, CO

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General NPI Number Information
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    NPI Number           |    1588213581
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    Entity Type          |    Organization 
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    Legal Business Name  |    MYAPPSTOREBIZ 
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Dates
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    Enumeration Date     |    09/11/2019
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    Last Update Date     |    07/21/2022
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Provider Practice Location Address
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    Address Line         |    13033 E ADAM AIRCRAFT CIRCLE B 53 
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    City                 |    ENGLEWOOD
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    State                |    CO
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    Zip                  |    80112
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    Country              |    US
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    Telephone            |    303-830-1800
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    Fax                  |    720-313-9741
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Provider Business Mailing Address
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    Address Line         |    13033 E ADAM AIRCRAFT CIRCLE B53 
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    City                 |    ENGLEWOOD
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    State                |    CO
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    Zip                  |    80112
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    Country              |    US
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    Telephone            |    303-830-1800
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    Fax                  |    720-313-9741
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Authorized Official
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    Title or Position    |    PRESIDENT
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    Name                 |    MR. PATRICK H SWEENEY 
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    Credential           |    ACE
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    Telephone            |    303-830-1800
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    284300000X
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    Taxonomy Name        |    Special Hospital
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    License Number       |    
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    License Number State |    
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