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General NPI Number Information
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NPI Number | 1619982089
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Entity Type | Organization
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Legal Business Name | ROCKY MOUNTAIN MEDICAL GROUP, P.C.
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Dates
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Enumeration Date | 07/31/2006
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Last Update Date | 07/21/2022
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Provider Practice Location Address
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Address Line | 730 W HAMPDEN AVENUE SUITE 200
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City | ENGLEWOOD
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State | CO
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Zip | 80110-8129
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Country | US
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Telephone | 303-762-0900
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Fax | 303-762-9072
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Provider Business Mailing Address
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Address Line | 730 W HAMPDEN AVENUE SUITE 200
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City | ENGLEWOOD
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State | CO
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Zip | 80110-8129
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Country | US
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Telephone | 303-762-0900
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Fax | 303-762-9072
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Authorized Official
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Title or Position | VP OF FINANCE
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Name | NATHAN JENSEN
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Credential |
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Telephone | 303-341-4730
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2083P0500X
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Taxonomy Name | Preventive Medicine/Occupational Environmental Medicine Physician
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License Number |
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License Number State | CO
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Taxonomy #2
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Taxonomy Code | 208D00000X
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Taxonomy Name | General Practice Physician
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License Number |
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License Number State | CO
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Taxonomy #3
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Taxonomy Code | 2083X0100X
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Taxonomy Name | Occupational Medicine Physician
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License Number |
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License Number State |
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