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General NPI Number Information
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NPI Number | 1750694477
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Entity Type | Organization
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Legal Business Name | ADVANCED HEALTHCARE, P. C.
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Dates
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Enumeration Date | 07/22/2010
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Last Update Date | 07/22/2010
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Provider Practice Location Address
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Address Line | 10890 E DARTMOUTH AVE SUITE 6
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City | DENVER
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State | CO
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Zip | 80014-4845
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Country | US
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Telephone | 303-751-5255
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Fax | 303-751-3225
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Provider Business Mailing Address
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Address Line | 10890 E DARTMOUTH AVE SUITE 6
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City | DENVER
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State | CO
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Zip | 80014-4845
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Country | US
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Telephone | 303-751-5255
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Fax | 303-751-3225
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. WILLIAM THOMAS BOLAN
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Credential | D. C.
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Telephone | 303-751-5255
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QH0100X
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Taxonomy Name | Health Service Clinic/Center
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License Number | 1852
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License Number State | CO
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