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General NPI Number Information
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NPI Number | 1831443522
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Entity Type | Individual
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Provider Name | DAVID THOMAS DEREMER RRT-SDS, RPSGT, RST
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Gender | Male
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Dates
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Enumeration Date | 11/01/2012
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Last Update Date | 11/01/2012
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Provider Practice Location Address
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Address Line | 12654 W GRAND DR
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City | MORRISON
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State | CO
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Zip | 80465-1706
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Country | US
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Telephone | 720-472-9416
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Fax |
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Provider Business Mailing Address
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Address Line | 12654 W GRAND DR
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City | MORRISON
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State | CO
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Zip | 80465-1706
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Country | US
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Telephone | 720-472-9416
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Fax |
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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 | 227900000X
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Taxonomy Name | Registered Respiratory Therapist
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License Number | RTL.0003496
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License Number State | CO
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Taxonomy #2
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Taxonomy Code | 246Z00000X
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Taxonomy Name | Other Specialist/Technologist
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License Number | 8941
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License Number State |
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