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General NPI Number Information
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NPI Number | 1699961979
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Entity Type | Organization
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Legal Business Name | KIDNEY ASSOCIATES OF COLORADO
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Dates
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Enumeration Date | 09/19/2007
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Last Update Date | 04/19/2022
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Provider Practice Location Address
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Address Line | 850 E HARVARD AVE SUITE 565
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City | DENVER
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State | CO
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Zip | 80210-5073
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Country | US
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Telephone | 303-777-3333
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Fax | 303-733-4441
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Provider Business Mailing Address
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Address Line | 850 E HARVARD AVE SUITE 565
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City | DENVER
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State | CO
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Zip | 80210-5073
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Country | US
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Telephone | 303-777-3333
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Fax | 303-733-4441
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Authorized Official
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Title or Position | CREDENTIALING
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Name | AILEEN M MARQUEZ
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Credential |
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Telephone | 303-908-4712
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RN0300X
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Taxonomy Name | Nephrology Physician
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License Number | 23822
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License Number State | CO
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