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General NPI Number Information
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NPI Number | 1790299303
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Entity Type | Organization
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Legal Business Name | XENON ANESTHESIA OF COLORADO LLC
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Dates
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Enumeration Date | 11/20/2017
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Last Update Date | 04/13/2021
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Provider Practice Location Address
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Address Line | 36 S 18TH AVE STE D
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City | BRIGHTON
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State | CO
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Zip | 80601-2452
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Country | US
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Telephone | 323-417-0335
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Fax | 323-978-6136
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Provider Business Mailing Address
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Address Line | 6464 W SUNSET BLVD STE 790
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City | LOS ANGELES
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State | CA
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Zip | 90028-8006
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Country | US
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Telephone | 323-417-0335
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Fax | 323-978-6136
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Authorized Official
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Title or Position | PRESIDENT
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Name | HAROON W CHAUDHRY
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Credential | MD
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Telephone | 323-417-0335
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number |
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License Number State |
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