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General NPI Number Information
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NPI Number | 1710962295
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Entity Type | Organization
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Legal Business Name | DENVER EAR ASSOCIATES
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Dates
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Enumeration Date | 12/07/2005
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Last Update Date | 08/18/2021
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Provider Practice Location Address
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Address Line | 701 E HAMPDEN AVE STE 415
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City | ENGLEWOOD
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State | CO
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Zip | 80113-2759
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Country | US
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Telephone | 303-788-7880
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Fax | 303-788-7883
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Provider Business Mailing Address
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Address Line | 701 E HAMPDEN AVE STE 415
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City | ENGLEWOOD
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State | CO
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Zip | 80113-2759
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Country | US
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Telephone | 303-788-7880
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Fax | 303-788-7883
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Authorized Official
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Title or Position | PRACTICE ADMINISTRATOR
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Name | CHRISTINE WALRATH
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Credential |
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Telephone | 303-788-7880
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number |
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License Number State |
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