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General NPI Number Information
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NPI Number | 1669647764
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Entity Type | Organization
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Legal Business Name | AFTERCARE COLORADO, LLC
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Dates
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Enumeration Date | 04/29/2008
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Last Update Date | 04/29/2008
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Provider Practice Location Address
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Address Line | 3655 E 104TH AVE
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City | THORNTON
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State | CO
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Zip | 80233-4469
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Country | US
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Telephone | 303-246-4877
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Fax |
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Provider Business Mailing Address
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Address Line | 3655 E 104TH AVE
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City | THORNTON
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State | CO
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Zip | 80233-4469
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Country | US
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Telephone | 303-246-4877
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Fax |
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Authorized Official
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Title or Position | PARTNER
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Name | PHILIP ROSENBLUM
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Credential | MD
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Telephone | 303-246-4877
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QU0200X
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Taxonomy Name | Urgent Care Clinic/Center
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License Number |
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License Number State | CO
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