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General NPI Number Information
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NPI Number | 1669008116
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Entity Type | Organization
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Legal Business Name | RED ROCKS PEDIATRICS, PC
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Dates
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Enumeration Date | 03/17/2020
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Last Update Date | 12/10/2020
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Provider Practice Location Address
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Address Line | 9200 W CROSS DR STE 100
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City | LITTLETON
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State | CO
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Zip | 80123-2239
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Country | US
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Telephone | 303-972-7337
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Fax | 303-972-0026
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Provider Business Mailing Address
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Address Line | 9035 WADSWORTH PKWY STE 3000
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City | WESTMINSTER
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State | CO
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Zip | 80021-8628
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Country | US
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Telephone | 303-422-7677
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Fax | 303-422-6029
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Authorized Official
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Title or Position | BUSINESS MANAGER
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Name | JODY KARRASCH
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Credential |
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Telephone | 303-422-7677
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number |
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License Number State |
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