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General NPI Number Information
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NPI Number | 1801450309
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Entity Type | Organization
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Legal Business Name | DENVER CENTER FOR ENDOCRINE SURGERY LLC
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Dates
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Enumeration Date | 04/30/2019
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Last Update Date | 07/23/2019
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Provider Practice Location Address
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Address Line | 4700 HALE PKWY STE 210
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City | DENVER
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State | CO
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Zip | 80220-4026
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Country | US
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Telephone | 303-407-0280
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Fax |
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Provider Business Mailing Address
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Address Line | 12301 GRANT ST UNIT 230
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City | THORNTON
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State | CO
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Zip | 80241-3130
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Country | US
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Telephone | 877-320-1692
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Fax |
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Authorized Official
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Title or Position | DIRECTOR OF OPERATIONS
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Name | BRADLEY M SCLAR
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Credential |
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Telephone | 303-588-4034
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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 |
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License Number State |
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