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General NPI Number Information
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NPI Number | 1598128266
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Entity Type | Organization
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Legal Business Name | EDWARD J HEPWORTH MD PC
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Dates
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Enumeration Date | 03/31/2016
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Last Update Date | 03/31/2016
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Provider Practice Location Address
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Address Line | 3150 E 3RD AVE
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City | DENVER
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State | CO
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Zip | 80206-5245
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Country | US
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Telephone | 303-517-8283
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Fax |
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Provider Business Mailing Address
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Address Line | 3481 E KENTUCKY AVE
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City | DENVER
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State | CO
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Zip | 80209-4931
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Country | US
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Telephone | 303-517-8283
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MR. EDWARD J HEPWORTH
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Credential |
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Telephone | 303-517-8283
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Y00000X
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Taxonomy Name | Otolaryngology Physician
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License Number | DR43375
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License Number State | CO
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