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General NPI Number Information
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NPI Number | 1790066934
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Entity Type | Organization
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Legal Business Name | DENVER VASCULAR CARE CENTER LLC
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Dates
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Enumeration Date | 09/01/2011
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Last Update Date | 09/01/2011
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Provider Practice Location Address
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Address Line | 8101 E LOWRY BLVD SUITE 258
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City | DENVER
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State | CO
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Zip | 80230-7196
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Country | US
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Telephone | 720-879-8320
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Fax |
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Provider Business Mailing Address
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Address Line | 2205 W 36 AVE SUITE 106 #220
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City | BROOMFIELD
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State | CO
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Zip | 80023-9306
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Country | US
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Telephone | 702-879-8320
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DR. CHRISTOPHER J MORIN
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Credential | M.D.
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Telephone | 720-879-8320
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2086S0129X
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Taxonomy Name | Vascular Surgery Physician
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License Number | 44862
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License Number State | CO
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