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General NPI Number Information
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NPI Number | 1821185620
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Entity Type | Organization
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Legal Business Name | MILE HIGH MEDICAL SUPPLY
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Dates
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Enumeration Date | 10/05/2006
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Last Update Date | 07/21/2022
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Provider Practice Location Address
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Address Line | 1562 S PARKER RD SUITE 114
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City | DENVER
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State | CO
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Zip | 80231-2718
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Country | US
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Telephone | 303-750-0512
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Fax | 303-750-0512
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Provider Business Mailing Address
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Address Line | 1562 S PARKER RD SUITE 114
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City | DENVER
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State | CO
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Zip | 80231-2718
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Country | US
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Telephone | 303-750-0512
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Fax | 303-750-0512
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Authorized Official
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Title or Position | OWNWE MEMBER
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Name | MRS. GARNET DEVON SMITH
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Credential |
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Telephone | 303-750-0512
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332BX2000X
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Taxonomy Name | Oxygen Equipment & Supplies (DME)
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License Number |
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License Number State | CO
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