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General NPI Number Information
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NPI Number | 1639109234
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Entity Type | Individual
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Provider Name | MARLA R MCHUGH OD
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Gender | Female
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Dates
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Enumeration Date | 07/03/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 1399 S HAVANA ST SUITE 101
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City | AURORA
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State | CO
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Zip | 80012-4020
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Country | US
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Telephone | 303-750-7621
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Fax |
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Provider Business Mailing Address
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Address Line | 1097 LEYDEN ST
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City | DENVER
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State | CO
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Zip | 80220-4636
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Country | US
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Telephone | 303-322-5322
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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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 | 2128
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License Number State | CO
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