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General NPI Number Information
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NPI Number | 1639778921
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Entity Type | Organization
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Legal Business Name | DENVER RECOVERY GROUP LLC
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Dates
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Enumeration Date | 10/19/2020
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Last Update Date | 10/19/2020
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Provider Practice Location Address
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Address Line | 56 E ARAPAHOE RD
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City | LITTLETON
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State | CO
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Zip | 80122-8001
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Country | US
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Telephone | 720-283-3055
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Fax | 303-794-4299
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Provider Business Mailing Address
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Address Line | 2822 E COLFAX AVE
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City | DENVER
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State | CO
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Zip | 80206-1507
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Country | US
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Telephone | 303-953-2299
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Fax | 303-955-8830
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Authorized Official
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Title or Position | BILLING DIRECTOR
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Name | KARLA CHAVEZ
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Credential |
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Telephone | 575-993-5225
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 291U00000X
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Taxonomy Name | Clinical Medical Laboratory
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License Number |
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License Number State |
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