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General NPI Number Information
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NPI Number | 1841072212
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Entity Type | Organization
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Legal Business Name | CARE SYNERGY MEDICAL GROUP LLC
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Dates
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Enumeration Date | 10/19/2023
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Last Update Date | 06/19/2024
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Provider Practice Location Address
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Address Line | 8289 E LOWRY BLVD
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City | DENVER
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State | CO
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Zip | 80230-7256
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Country | US
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Telephone | 303-718-4600
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Fax |
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Provider Business Mailing Address
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Address Line | 8289 E LOWRY BLVD
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City | DENVER
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State | CO
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Zip | 80230-7256
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Country | US
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Telephone | 303-718-4600
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | TIM BOWEN
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Credential |
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Telephone | 303-398-6226
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207PH0002X
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Taxonomy Name | Hospice and Palliative Medicine (Emergency Medicine) Physician
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 207RH0002X
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Taxonomy Name | Hospice and Palliative Medicine (Internal Medicine) Physician
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 2080H0002X
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Taxonomy Name | Pediatric Hospice and Palliative Medicine Physician
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 2081H0002X
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Taxonomy Name | Hospice and Palliative Medicine (Physical Medicine & Rehabilitation) Physician
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number |
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License Number State |
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Taxonomy #6
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Taxonomy Code | 363LA2200X
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Taxonomy Name | Adult Health Nurse Practitioner
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License Number |
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License Number State |
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Taxonomy #7
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number |
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License Number State |
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Taxonomy #8
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Taxonomy Code | 363LG0600X
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Taxonomy Name | Gerontology Nurse Practitioner
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License Number |
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License Number State |
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Taxonomy #9
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Taxonomy Code | 207QH0002X
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Taxonomy Name | Hospice and Palliative Medicine (Family Medicine) Physician
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License Number |
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License Number State |
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