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General NPI Number Information
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NPI Number | 1598952988
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Entity Type | Organization
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Legal Business Name | CHAFFEE FAMILY PHYSICIANS
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Dates
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Enumeration Date | 09/28/2007
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Last Update Date | 07/21/2022
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Provider Practice Location Address
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Address Line | 4720 TEJON ST
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City | DENVER
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State | CO
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Zip | 80211-1257
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Country | US
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Telephone | 303-433-6563
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Fax | 303-433-5614
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Provider Business Mailing Address
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Address Line | 4720 TEJON ST
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City | DENVER
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State | CO
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Zip | 80211-1257
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Country | US
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Telephone | 303-433-6563
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Fax | 303-433-5614
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Authorized Official
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Title or Position | PRACTICE MANAGER
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Name | DEBRA K ZIMBELMAN
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Credential |
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Telephone | 303-433-6563
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number |
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License Number State | CO
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