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General NPI Number Information
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NPI Number | 1760467542
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Entity Type | Individual
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Provider Name | ROBERT L BROGHAMMER MD
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Gender | Male
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Dates
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Enumeration Date | 12/14/2005
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Last Update Date | 11/13/2024
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Provider Practice Location Address
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Address Line | 14000 E ARAPAHOE RD STE 160
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City | CENTENNIAL
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State | CO
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Zip | 80112-4043
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Country | US
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Telephone | 303-218-4250
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Fax | 303-218-4247
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Provider Business Mailing Address
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Address Line | 1805 SHEA CENTER DR STE 450
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City | HIGHLANDS RANCH
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State | CO
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Zip | 80129-2255
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Country | US
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Telephone | 303-357-2559
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Fax | 720-638-3402
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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 | 2083P0500X
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Taxonomy Name | Preventive Medicine/Occupational Environmental Medicine Physician
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License Number | 01053271A
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License Number State | IN
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Taxonomy #2
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Taxonomy Code | 2083P0500X
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Taxonomy Name | Preventive Medicine/Occupational Environmental Medicine Physician
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License Number | 54410
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License Number State | CO
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Taxonomy #3
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Taxonomy Code | 2083X0100X
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Taxonomy Name | Occupational Medicine Physician
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License Number | 18302
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License Number State | IA
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Taxonomy #4
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Taxonomy Code | 2083X0100X
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Taxonomy Name | Occupational Medicine Physician
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License Number | 54410
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License Number State | CO
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