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General NPI Number Information
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NPI Number | 1689759482
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Entity Type | Organization
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Legal Business Name | HEALTHONE CLINIC SERVICES LLC
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Dates
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Enumeration Date | 10/27/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 4600 HALE PKWY SUITE 490
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City | DENVER
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State | CO
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Zip | 80220-4020
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Country | US
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Telephone | 303-329-7876
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Fax | 303-329-7862
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Provider Business Mailing Address
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Address Line | 750 W HAMPDEN AVE SUITE 400
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City | ENGLEWOOD
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State | CO
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Zip | 80110-2165
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Country | US
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Telephone | 303-584-8231
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Fax | 866-891-4953
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Authorized Official
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Title or Position | LEAD CREDENTIALING SPECIALIST
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Name | JEFFREY A DORSEY
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Credential |
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Telephone | 303-584-8231
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RE0101X
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Taxonomy Name | Endocrinology, Diabetes & Metabolism Physician
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License Number |
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License Number State |
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