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General NPI Number Information
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NPI Number | 1730929167
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Entity Type | Individual
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Provider Name | MRS. ELLEN FILONOFF
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Gender | Female
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Dates
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Enumeration Date | 05/31/2024
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Last Update Date | 05/31/2024
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Provider Practice Location Address
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Address Line | 2055 S ONEIDA ST STE 280
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City | DENVER
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State | CO
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Zip | 80224-2466
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Country | US
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Telephone | 303-524-4106
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Fax |
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Provider Business Mailing Address
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Address Line | 2569 S KENDRICK ST
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City | LAKEWOOD
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State | CO
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Zip | 80228-5540
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Country | US
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Telephone | 303-524-4106
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Fax |
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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 | 163WM1400X
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Taxonomy Name | Nurse Massage Therapist (NMT)
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License Number | 0026199
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License Number State | CO
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