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General NPI Number Information
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NPI Number | 1861692873
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Entity Type | Organization
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Legal Business Name | PROFESSIONAL FLU CLINICS, INC.
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Dates
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Enumeration Date | 07/19/2007
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Last Update Date | 07/19/2007
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Provider Practice Location Address
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Address Line | 1600 EMERSON ST
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City | DENVER
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State | CO
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Zip | 80218-1412
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Country | US
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Telephone | 303-757-4546
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Fax | 303-675-3306
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Provider Business Mailing Address
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Address Line | 1600 EMERSON ST
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City | DENVER
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State | CO
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Zip | 80218-1412
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Country | US
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Telephone | 303-757-4546
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Fax | 303-675-3306
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Authorized Official
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Title or Position | CEO
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Name | MR. KEVIN W VOLLMER
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Credential |
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Telephone | 303-757-4808
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3336S0011X
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Taxonomy Name | Specialty Pharmacy
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License Number | 6028
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License Number State | CO
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