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General NPI Number Information
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NPI Number | 1689537888
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Entity Type | Organization
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Legal Business Name | ST. SHARBEL HEALTH, PLLC
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Dates
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Enumeration Date | 12/04/2025
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Last Update Date | 12/04/2025
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Provider Practice Location Address
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Address Line | 3601 S PENNSYLVANIA ST STE B
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City | ENGLEWOOD
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State | CO
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Zip | 80113-3753
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Country | US
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Telephone | 720-262-2462
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Fax | 720-330-5765
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Provider Business Mailing Address
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Address Line | 2459 S CHASE LN
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City | LAKEWOOD
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State | CO
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Zip | 80227-3902
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | DR. SUSAN BOACKLE CHILDRESS
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Credential | MD
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Telephone | 720-231-4567
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RR0500X
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Taxonomy Name | Rheumatology Physician
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License Number |
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License Number State |
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