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General NPI Number Information
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NPI Number | 1841157617
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Entity Type | Organization
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Legal Business Name | CORMJ DENVER, LLC
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Dates
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Enumeration Date | 01/05/2026
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Last Update Date | 01/05/2026
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Provider Practice Location Address
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Address Line | 1333 W 120TH AVE STE 110
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City | DENVER
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State | CO
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Zip | 80234-2709
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Country | US
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Telephone | 970-631-4173
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Fax | 970-226-0251
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Provider Business Mailing Address
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Address Line | 1333 W 120TH AVE STE 110
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City | DENVER
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State | CO
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Zip | 80234-2709
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Country | US
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Telephone | 970-631-4173
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Fax | 970-226-0251
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Authorized Official
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Title or Position | CFO
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Name | TARRYN FARRELL
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Credential |
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Telephone | 970-631-4173
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM1300X
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Taxonomy Name | Multi-Specialty Clinic/Center
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License Number |
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License Number State |
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