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General NPI Number Information
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NPI Number | 1811043409
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Entity Type | Individual
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Provider Name | CORTNEY RAY BOSWORTH M.D.
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Gender | Male
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Dates
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Enumeration Date | 01/26/2007
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Last Update Date | 09/03/2025
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Provider Practice Location Address
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Address Line | 274 UNION BLVD STE 110
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City | LAKEWOOD
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State | CO
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Zip | 80228-1836
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Country | US
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Telephone | 720-536-2100
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Fax | 720-536-2090
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Provider Business Mailing Address
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Address Line | 13901 E EXPOSITION AVE STE 202
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City | AURORA
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State | CO
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Zip | 80012-2535
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Country | US
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Telephone | 303-327-4700
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Fax | 303-327-4711
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RN0300X
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Taxonomy Name | Nephrology Physician
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License Number | 46927
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License Number State | CO
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