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General NPI Number Information
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NPI Number | 1801156856
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Entity Type | Organization
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Legal Business Name | JEREMY HEDGES MD, MPH, LLC
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Dates
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Enumeration Date | 05/24/2012
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Last Update Date | 05/24/2012
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Provider Practice Location Address
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Address Line | 1715 N WEBER ST STE 220
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City | COLORADO SPRINGS
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State | CO
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Zip | 80907-7553
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Country | US
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Telephone | 719-471-3246
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Fax |
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Provider Business Mailing Address
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Address Line | 1183 SAINT PAUL ST
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City | DENVER
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State | CO
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Zip | 80206-3347
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | SOLO PRACTIONER
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Name | DR. JEREMY HEDGES
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Credential | MD, MPH
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Telephone | 303-589-5720
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208600000X
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Taxonomy Name | Surgery Physician
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License Number | 46906
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License Number State | CO
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