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General NPI Number Information
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NPI Number | 1760962302
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Entity Type | Organization
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Legal Business Name | MILE HIGH NATIVE LLC
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Dates
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Enumeration Date | 08/14/2018
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Last Update Date | 08/14/2018
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Provider Practice Location Address
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Address Line | 9090 E COLORADO CIR
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City | DENVER
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State | CO
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Zip | 80231-2924
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Country | US
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Telephone | 720-336-3405
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Fax |
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Provider Business Mailing Address
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Address Line | 1312 17TH ST # 170
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City | DENVER
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State | CO
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Zip | 80202-1508
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Country | US
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Telephone | 720-336-3405
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | AMINE MEGDER
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Credential |
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Telephone | 720-336-3405
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 343900000X
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Taxonomy Name | Non-emergency Medical Transport (VAN)
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License Number |
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License Number State |
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