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General NPI Number Information
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NPI Number | 1730534637
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Entity Type | Organization
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Legal Business Name | LIVING WELL FAMILY MEDICINE PC
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Dates
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Enumeration Date | 04/28/2016
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Last Update Date | 09/01/2021
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Provider Practice Location Address
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Address Line | 4999 E KENTUCKY AVE STE 103
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City | DENVER
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State | CO
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Zip | 80246-3901
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Country | US
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Telephone | 720-770-8199
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Fax | 720-770-8399
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Provider Business Mailing Address
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Address Line | 4999 E KENTUCKY AVE STE 103
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City | DENVER
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State | CO
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Zip | 80246-3901
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Country | US
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Telephone | 720-770-8199
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Fax | 720-770-8399
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. MARY CATHERINE HUSNEY
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Credential | MD
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Telephone | 303-204-6374
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 41315
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License Number State | CO
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