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NPI 1619185832

NPI 1619185832 : ROCKY MOUNTAIN REHAB MEDICINE : DENVER, CO

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General NPI Number Information
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    NPI Number           |    1619185832
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    Entity Type          |    Organization 
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    Legal Business Name  |    ROCKY MOUNTAIN REHAB MEDICINE 
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Dates
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    Enumeration Date     |    05/19/2007
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    Last Update Date     |    09/11/2025
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Provider Practice Location Address
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    Address Line         |    1633 FILLMORE ST STE 410 1633 FILLMORE ST STE 410
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    City                 |    DENVER
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    State                |    CO
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    Zip                  |    80206-1545
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    Country              |    US
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    Telephone            |    303-333-4559
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    Fax                  |    303-333-0057
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Provider Business Mailing Address
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    Address Line         |    1633 FILLMORE ST STE 410 1633 FILLMORE ST STE 410
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    City                 |    DENVER
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    State                |    CO
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    Zip                  |    80206-1545
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    Country              |    US
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    Telephone            |    303-333-4559
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    Fax                  |    303-333-0057
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Authorized Official
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    Title or Position    |    OWNER PRESIDENT
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    Name                 |    DR. YECHIEL  KLEEN 
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    Credential           |    MD
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    Telephone            |    303-333-4559
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    174400000X
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    Taxonomy Name        |    Specialist
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    License Number       |    30858
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    License Number State |    CO
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Taxonomy #2
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    Taxonomy Code        |    103TR0400X
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    Taxonomy Name        |    Rehabilitation Psychologist
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    License Number       |    1659
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    License Number State |    CO
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