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General NPI Number Information
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NPI Number | 1588911242
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Entity Type | Organization
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Legal Business Name | MCGLOTHIN DAVIS INC
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Dates
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Enumeration Date | 08/12/2012
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Last Update Date | 08/12/2012
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Provider Practice Location Address
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Address Line | 12241 E 48TH AVE
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City | DENVER
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State | CO
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Zip | 80239-4434
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Country | US
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Telephone | 303-331-4424
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Fax | 303-371-4776
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Provider Business Mailing Address
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Address Line | 12241 E 48TH AVE
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City | DENVER
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State | CO
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Zip | 80239-4434
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Country | US
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Telephone | 303-331-4424
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Fax | 303-371-4776
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | DR. MARY JOYCE DAVIS
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Credential |
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Telephone | 303-331-4424
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number | 04V256
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License Number State | CO
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