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General NPI Number Information
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NPI Number | 1689672610
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Entity Type | Organization
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Legal Business Name | DENVER-EVERGREEN OB-GYN GRP., PC
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Dates
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Enumeration Date | 07/13/2005
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 425 S CHERRY ST SUITE 410
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City | DENVER
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State | CO
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Zip | 80246-1226
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Country | US
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Telephone | 303-377-9500
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Fax | 303-377-2712
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Provider Business Mailing Address
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Address Line | 425 S CHERRY ST SUITE 410
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City | DENVER
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State | CO
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Zip | 80246-1226
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Country | US
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Telephone | 303-377-9500
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Fax | 303-377-2712
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Authorized Official
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Title or Position | PRESIDENT/OWNER
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Name | DR. GLENN T. FOUST III
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Credential | M.D.
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Telephone | 303-377-9500
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number |
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License Number State |
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