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General NPI Number Information
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NPI Number | 1699179747
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Entity Type | Organization
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Legal Business Name | FAMILY MEDICINE CLINIC FOR HEALTH EQUITY
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Dates
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Enumeration Date | 10/17/2014
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Last Update Date | 10/17/2024
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Provider Practice Location Address
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Address Line | 5250 LEETSDALE DR SUITE 110
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City | DENVER
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State | CO
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Zip | 80246-1438
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Country | US
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Telephone | 303-954-0058
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Fax |
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Provider Business Mailing Address
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Address Line | 5250 LEETSDALE DR SUITE 110
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City | DENVER
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State | CO
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Zip | 80246-1438
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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 | DIRECTOR
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Name | ALOK SARWAL
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Credential | PHD
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Telephone | 303-521-7641
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 261QP2300X
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Taxonomy Name | Primary Care Clinic/Center
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License Number |
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License Number State |
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