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General NPI Number Information
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NPI Number | 1710389945
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Entity Type | Organization
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Legal Business Name | STUART S. KASSAN, M.D., F.A.C.P., P.C.
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Dates
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Enumeration Date | 09/18/2014
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Last Update Date | 09/18/2014
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Provider Practice Location Address
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Address Line | 198 UNION BLVD. #150
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City | LAKEWOOD
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State | CO
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Zip | 80228-2259
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Country | US
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Telephone | 303-892-6033
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Fax | 303-892-8809
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Provider Business Mailing Address
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Address Line | 198 UNION BLVD. #150
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City | LAKEWOOD
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State | CO
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Zip | 80228-2259
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Country | US
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Telephone | 303-892-6033
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Fax | 303-892-8809
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Authorized Official
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Title or Position | OWNER
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Name | DR. STUART S. KASSAN
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Credential | MD
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Telephone | 303-892-6033
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RR0500X
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Taxonomy Name | Rheumatology Physician
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License Number |
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License Number State |
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