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NPI 1649136300

NPI 1649136300 : GOLDEN OAK FAMILY MEDICINE PC : LAKEWOOD, CO

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General NPI Number Information
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    NPI Number           |    1649136300
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    Entity Type          |    Organization 
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    Legal Business Name  |    GOLDEN OAK FAMILY MEDICINE PC 
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Dates
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    Enumeration Date     |    12/26/2025
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    Last Update Date     |    12/26/2025
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Provider Practice Location Address
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    Address Line         |    255 UNION BLVD STE 400 
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    City                 |    LAKEWOOD
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    State                |    CO
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    Zip                  |    80228-1852
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    Country              |    US
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    Telephone            |    720-263-0214
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    Fax                  |    833-764-6043
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Provider Business Mailing Address
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    Address Line         |    255 UNION BLVD STE 400 
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    City                 |    LAKEWOOD
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    State                |    CO
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    Zip                  |    80228-1852
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    Country              |    US
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    Telephone            |    720-263-0214
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    Fax                  |    833-764-6043
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Authorized Official
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    Title or Position    |    PHYSICIAN/OWNER
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    Name                 |    DR. CARLOS  VELA BROL 
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    Credential           |    MD
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    Telephone            |    720-988-8781
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    207Q00000X
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    Taxonomy Name        |    Family Medicine Physician
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    License Number       |    
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    License Number State |    
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