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General NPI Number Information
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NPI Number | 1851030795
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Entity Type | Organization
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Legal Business Name | DENVER SPRINGS PHYSICIAN GROUP, LLC
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Dates
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Enumeration Date | 05/31/2022
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Last Update Date | 05/31/2022
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Provider Practice Location Address
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Address Line | 401 W HAMPDEN PL STE 200
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City | ENGLEWOOD
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State | CO
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Zip | 80110-2534
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Country | US
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Telephone | 720-644-0025
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Fax |
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Provider Business Mailing Address
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Address Line | 4801 OLYMPIA PARK PLZ STE 1000
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City | LOUISVILLE
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State | KY
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Zip | 40241-2090
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Country | US
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Telephone | 412-588-3546
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Fax |
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Authorized Official
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Title or Position | DIRECTOR CREDENTIALING
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Name | GINA WARREN
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Credential |
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Telephone | 502-381-3338
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number |
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License Number State |
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