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General NPI Number Information
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NPI Number | 1699452516
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Entity Type | Organization
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Legal Business Name | DESTINY URGENT CARES OF COLORADO LLC
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Dates
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Enumeration Date | 07/03/2023
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Last Update Date | 08/02/2023
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Provider Practice Location Address
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Address Line | 17200 E ILIFF AVE STE A7
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City | AURORA
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State | CO
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Zip | 80013-5804
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Country | US
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Telephone | 720-477-4024
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Fax | 720-324-4778
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Provider Business Mailing Address
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Address Line | 7665 S EATON PARK CT
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City | AURORA
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State | CO
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Zip | 80016-4293
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Country | US
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Telephone | 720-253-8473
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DR. ROMANO N ABUABA
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Credential | MD
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Telephone | 720-253-8473
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QU0200X
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Taxonomy Name | Urgent Care Clinic/Center
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License Number |
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License Number State |
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