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NPI 1770767386

NPI 1770767386 : ROCKY MOUNTAIN NEUROLOGY PC : CENTENNIAL, CO

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General NPI Number Information
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    NPI Number           |    1770767386
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    Entity Type          |    Organization 
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    Legal Business Name  |    ROCKY MOUNTAIN NEUROLOGY PC 
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Dates
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    Enumeration Date     |    12/19/2007
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    Last Update Date     |    10/30/2025
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Provider Practice Location Address
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    Address Line         |    5975 S QUEBEC ST STE 150 
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    City                 |    CENTENNIAL
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    State                |    CO
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    Zip                  |    80111-4554
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    Country              |    US
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    Telephone            |    303-790-8899
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    Fax                  |    303-790-2810
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Provider Business Mailing Address
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    Address Line         |    5975 S QUEBEC ST STE 150 
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    City                 |    CENTENNIAL
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    State                |    CO
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    Zip                  |    80111-4554
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    Country              |    US
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    Telephone            |    303-790-8899
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    Fax                  |    303-790-2810
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Authorized Official
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    Title or Position    |    OWNER
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    Name                 |     DANIEL  KITEI 
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    Credential           |    DO
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    Telephone            |    303-790-8899
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    2084N0400X
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    Taxonomy Name        |    Neurology Physician
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    License Number       |    37976
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    License Number State |    CO
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