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General NPI Number Information
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NPI Number | 1770736035
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Entity Type | Organization
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Legal Business Name | INTERNAL MEDICINE ASSOCIATES, P.C.
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Dates
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Enumeration Date | 10/30/2008
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Last Update Date | 12/31/2008
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Provider Practice Location Address
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Address Line | 4950 S YOSEMITE ST SUITE F2 - 304
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City | GREENWOOD VILLAGE
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State | CO
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Zip | 80111-1349
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Country | US
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Telephone | 303-999-6382
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Fax |
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Provider Business Mailing Address
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Address Line | 4950 S YOSEMITE ST SUITE F2 - 304
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City | GREENWOOD VILLAGE
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State | CO
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Zip | 80111-1349
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Country | US
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Telephone | 303-999-6382
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. SERGIU SURDULESCU
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Credential | M.D.
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Telephone | 303-999-6382
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 45091
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License Number State | CO
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