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General NPI Number Information
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NPI Number | 1689382053
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Entity Type | Organization
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Legal Business Name | CAPITOL HEIGHTS MEDICAL INC
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Dates
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Enumeration Date | 11/14/2022
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Last Update Date | 11/17/2023
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Provider Practice Location Address
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Address Line | 1200 MADISON ST
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City | DENVER
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State | CO
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Zip | 80206-3440
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Country | US
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Telephone | 720-588-6478
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Fax |
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Provider Business Mailing Address
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Address Line | 1200 MADISON ST
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City | DENVER
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State | CO
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Zip | 80206-3440
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Country | US
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Telephone | 720-588-6478
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Fax |
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Authorized Official
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Title or Position | MANAGER
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Name | KRISTIN HOLMES
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Credential | PHARMACISTS
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Telephone | 720-470-8856
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number |
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License Number State |
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