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General NPI Number Information
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NPI Number | 1861541005
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Entity Type | Individual
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Provider Name | ERIC ALAN KELTS MD
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Gender | Male
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Dates
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Enumeration Date | 01/09/2007
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Last Update Date | 11/21/2013
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Provider Practice Location Address
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Address Line | 7400 E ARAPAHOE RD STE. 100
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City | CENTENNIAL
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State | CO
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Zip | 80112-1279
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Country | US
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Telephone | 303-284-7950
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Fax | 720-542-9930
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Provider Business Mailing Address
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Address Line | 7400 E ARAPAHOE RD STE. 100
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City | CENTENNIAL
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State | CO
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Zip | 80112-1279
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Country | US
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Telephone | 303-284-7950
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Fax | 720-542-9930
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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 | 2084N0400X
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Taxonomy Name | Neurology Physician
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License Number | 5674
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License Number State | SD
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Taxonomy #2
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Taxonomy Code | 2084N0400X
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Taxonomy Name | Neurology Physician
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License Number | 43856
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License Number State | CO
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Taxonomy #3
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Taxonomy Code | 2084N0400X
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Taxonomy Name | Neurology Physician
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License Number | 215819-1
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License Number State | NY
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Taxonomy #4
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Taxonomy Code | 2084N0400X
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Taxonomy Name | Neurology Physician
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License Number | MD2013-0786
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License Number State | NM
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