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General NPI Number Information
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NPI Number | 1811801442
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Entity Type | Organization
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Legal Business Name | PLATTE RIVER MEDICAL CLINIC LLC
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Dates
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Enumeration Date | 09/30/2026
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Last Update Date | 09/30/2026
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Provider Practice Location Address
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Address Line | 3950 W 144TH AVE
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City | BROOMFIELD
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State | CO
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Zip | 80023-9508
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Country | US
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Telephone | 303-659-7600
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Fax | 720-336-3989
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Provider Business Mailing Address
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Address Line | 2901 PURCELL ST
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City | BRIGHTON
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State | CO
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Zip | 80601-3550
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Country | US
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Telephone | 303-659-7600
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Fax | 720-336-3989
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Authorized Official
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Title or Position | OWNER
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Name | ANTHONY GERRIT EUSER
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Credential | DO
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Telephone | 303-659-7600
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number |
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License Number State | NULL
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