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General NPI Number Information
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NPI Number | 1619960580
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Entity Type | Organization
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Legal Business Name | LOOMIS, YOUNT, PETERSON & ASSOCIATES, PLLC
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Dates
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Enumeration Date | 08/25/2005
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Last Update Date | 05/02/2011
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Provider Practice Location Address
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Address Line | 7761 SHAFFER PKWY STE 200
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City | LITTLETON
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State | CO
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Zip | 80127-3731
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Country | US
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Telephone | 303-979-4505
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Fax | 303-933-0714
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Provider Business Mailing Address
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Address Line | 7761 SHAFFER PKWY STE 200
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City | LITTLETON
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State | CO
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Zip | 80127-3731
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Country | US
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Telephone | 303-979-4505
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Fax | 303-933-0714
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Authorized Official
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Title or Position | BILLING MANAGER
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Name | KATHY C LOOMIS
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Credential |
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Telephone | 303-979-4505
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 152W00000X
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Taxonomy Name | Optometrist
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License Number | 1057
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License Number State | CO
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