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General NPI Number Information
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NPI Number | 1770660409
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Entity Type | Organization
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Legal Business Name | COLORADO PULMONARY INTENSIVISTS PC
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Dates
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Enumeration Date | 11/01/2006
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Last Update Date | 01/13/2025
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Provider Practice Location Address
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Address Line | 15 W DRY CREEK CIR
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City | LITTLETON
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State | CO
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Zip | 80120-4427
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Country | US
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Telephone | 303-952-1100
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Fax | 303-952-8185
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Provider Business Mailing Address
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Address Line | 15 W DRY CREEK CIR
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City | LITTLETON
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State | CO
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Zip | 80120-4427
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Country | US
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Telephone | 303-952-1100
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Fax | 303-952-8185
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Authorized Official
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Title or Position | OWNER
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Name | DR. KELLY GREENE
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Credential | MD
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Telephone | 303-919-3869
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RP1001X
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Taxonomy Name | Pulmonary Disease Physician
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 207RC0200X
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Taxonomy Name | Critical Care Medicine (Internal Medicine) Physician
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License Number |
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License Number State |
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