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General NPI Number Information
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NPI Number | 1750031910
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Entity Type | Individual
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Provider Name | MICHELLE LIVITZ
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Gender | Female
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Dates
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Enumeration Date | 03/28/2022
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Last Update Date | 08/28/2025
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Provider Practice Location Address
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Address Line | 4567 E 9TH AVE
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City | DENVER
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State | CO
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Zip | 80220-3908
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Country | US
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Telephone | 303-320-2121
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Fax |
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Provider Business Mailing Address
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Address Line | 3380 DEERFIELD RD
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City | RIVERWOODS
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State | IL
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Zip | 60015-3780
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Country | US
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Telephone |
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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 | 208M00000X
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Taxonomy Name | Hospitalist Physician
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License Number | DR.0075785
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License Number State | CO
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