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General NPI Number Information
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NPI Number | 1801993761
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Entity Type | Organization
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Legal Business Name | MILE HIGH OB GYN ASSOC PC
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Dates
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Enumeration Date | 09/20/2006
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Last Update Date | 01/17/2014
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Provider Practice Location Address
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Address Line | 425 S CHERRY ST STE 300
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City | DENVER
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State | CO
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Zip | 80246-1230
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Country | US
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Telephone | 303-388-4631
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Fax | 303-320-6961
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Provider Business Mailing Address
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Address Line | PO BOX 461309
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City | DENVER
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State | CO
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Zip | 80246-5309
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Country | US
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Telephone | 303-388-4631
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Fax | 303-320-6961
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Authorized Official
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Title or Position | BILLING MANAGER
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Name | DEANNA LALICH
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Credential |
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Telephone | 303-239-0309
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number |
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License Number State |
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