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NPI 1659335339

NPI 1659335339 : ELENA DRAZNIN MD : ENGLEWOOD, CO

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General NPI Number Information
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    NPI Number           |    1659335339
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    Entity Type          |    Individual 
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    Provider Name        |    ELENA DRAZNIN MD
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    04/12/2006
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    Last Update Date     |    03/27/2013
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Provider Practice Location Address
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    Address Line         |    701 E HAMPDEN AVE #320
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    City                 |    ENGLEWOOD
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    State                |    CO
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    Zip                  |    80113-2736
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    Country              |    US
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    Telephone            |    303-788-4106
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    Fax                  |    303-788-4259
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Provider Business Mailing Address
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    Address Line         |    PO BOX 917 
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    City                 |    ENGLEWOOD
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    State                |    CO
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    Zip                  |    80151-0917
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    Country              |    US
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    Telephone            |    303-788-4106
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    Fax                  |    303-788-4259
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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        |    208100000X
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    Taxonomy Name        |    Physical Medicine & Rehabilitation Physician
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    License Number       |    24425
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    License Number State |    CO
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