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General NPI Number Information
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NPI Number | 1609054089
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Entity Type | Organization
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Legal Business Name | COLORADO CENTER FOR BONE RESEARCH, P.C.
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Dates
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Enumeration Date | 02/07/2008
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Last Update Date | 08/06/2013
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Provider Practice Location Address
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Address Line | 3190 S WADSWORTH BLVD 250
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City | LAKEWOOD
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State | CO
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Zip | 80227-4899
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Country | US
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Telephone | 303-980-9985
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Fax | 303-980-1367
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Provider Business Mailing Address
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Address Line | 3190 S WADSWORTH BLVD 250
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City | LAKEWOOD
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State | CO
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Zip | 80227-4899
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Country | US
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Telephone | 303-980-9985
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Fax | 303-980-1367
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Authorized Official
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Title or Position | PRESIDENT
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Name | PAUL D MILLER
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Credential | M.D.
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Telephone | 303-980-9985
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RR0500X
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Taxonomy Name | Rheumatology Physician
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License Number | 46158
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License Number State | CO
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Taxonomy #2
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Taxonomy Code | 207RN0300X
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Taxonomy Name | Nephrology Physician
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License Number | 18842
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License Number State | CO
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