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NPI 1700975570

NPI 1700975570 : JOHN H DRURY M.D. : STERLING, CO

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General NPI Number Information
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    NPI Number           |    1700975570
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    Entity Type          |    Individual 
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    Provider Name        |    JOHN H DRURY M.D.
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    10/12/2006
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    Last Update Date     |    06/22/2011
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Provider Practice Location Address
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    Address Line         |    1405 S 8TH AVE SUITE 104
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    City                 |    STERLING
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    State                |    CO
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    Zip                  |    80751-4563
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    Country              |    US
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    Telephone            |    970-526-8181
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    Fax                  |    970-526-8178
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Provider Business Mailing Address
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    Address Line         |    1405 S 8TH AVE SUITE 104
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    City                 |    STERLING
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    State                |    CO
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    Zip                  |    80751-4563
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    Country              |    US
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    Telephone            |    970-526-8181
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    Fax                  |    970-526-8178
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Authorized Official
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    Title or Position    |    
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    Name                 |        
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    Credential           |    
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    Telephone            |    
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    207RC0000X
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    Taxonomy Name        |    Cardiovascular Disease Physician
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    License Number       |    48066
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    License Number State |    CO
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Taxonomy #2
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    Taxonomy Code        |    207RC0000X
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    Taxonomy Name        |    Cardiovascular Disease Physician
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    License Number       |    5842A
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    License Number State |    WY
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Taxonomy #3
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    Taxonomy Code        |    207RC0000X
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    Taxonomy Name        |    Cardiovascular Disease Physician
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    License Number       |    20108
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    License Number State |    NE
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Taxonomy #4
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    Taxonomy Code        |    207RC0000X
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    Taxonomy Name        |    Cardiovascular Disease Physician
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    License Number       |    4071
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    License Number State |    SD
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Taxonomy #5
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    Taxonomy Code        |    207RC0000X
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    Taxonomy Name        |    Cardiovascular Disease Physician
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    License Number       |    041374
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    License Number State |    CT
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