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General NPI Number Information
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NPI Number | 1720081086
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Entity Type | Individual
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Provider Name | PHILIP A. EMRIE M.D.
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Gender | Male
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Dates
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Enumeration Date | 05/31/2005
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Last Update Date | 05/02/2024
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Provider Practice Location Address
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Address Line | 1536 COLE BLVD STE 4-250
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City | LAKEWOOD
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State | CO
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Zip | 80401-3413
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Country | US
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Telephone | 303-716-8027
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Fax | 303-238-5258
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Provider Business Mailing Address
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Address Line | PO BOX 35380
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City | LAS VEGAS
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State | NV
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Zip | 89133-5380
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Country | US
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Telephone | 719-538-2900
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Fax | 719-538-2990
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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 | 207RS0012X
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Taxonomy Name | Sleep Medicine (Internal Medicine) Physician
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License Number | 24646
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License Number State | CO
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Taxonomy #2
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Taxonomy Code | 207RP1001X
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Taxonomy Name | Pulmonary Disease Physician
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License Number | 24646
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License Number State | CO
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