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General NPI Number Information
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NPI Number | 1801206735
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Entity Type | Organization
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Legal Business Name | M&M TRANS MEDICAL
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Dates
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Enumeration Date | 04/30/2014
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Last Update Date | 04/30/2014
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Provider Practice Location Address
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Address Line | 4071 ORLEANS CT
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City | DENVER
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State | CO
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Zip | 80249-8043
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Country | US
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Telephone | 720-941-8429
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Fax |
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Provider Business Mailing Address
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Address Line | 4071 ORLEANS CT
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City | DENVER
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State | CO
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Zip | 80249-8043
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Country | US
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Telephone | 720-941-8429
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DONNA MOORE
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Credential |
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Telephone | 720-941-8429
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332H00000X
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Taxonomy Name | Eyewear Supplier
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License Number | 332H00000
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License Number State | CO
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Taxonomy #2
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Taxonomy Code | 302R00000X
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Taxonomy Name | Health Maintenance Organization
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License Number | 302R00000X
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License Number State | CO
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