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General NPI Number Information
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NPI Number | 1790745800
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Entity Type | Organization
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Legal Business Name | DENVER INJURY EVALUATION & TREATMENT CENTER, LTD.
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Dates
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Enumeration Date | 03/23/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 1325 S COLORADO BLVD STE. B-206
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City | DENVER
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State | CO
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Zip | 80222-3303
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Country | US
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Telephone | 303-753-6611
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Fax | 303-753-6067
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Provider Business Mailing Address
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Address Line | 1325 S COLORADO BLVD STE. B-206
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City | DENVER
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State | CO
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Zip | 80222-3303
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Country | US
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Telephone | 303-753-6611
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Fax | 303-753-6067
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Authorized Official
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Title or Position | ADMINISTRATIVE DIRECTOR
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Name | HELEN N. WHITE
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Credential | L.C.S.W.
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Telephone | 303-753-6611
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM1300X
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Taxonomy Name | Multi-Specialty Clinic/Center
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License Number |
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License Number State |
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