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General NPI Number Information
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NPI Number | 1861726515
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Entity Type | Organization
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Legal Business Name | ADVANCED UROGYNECOLOGY & PELVIC SURGERY, LLC
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Dates
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Enumeration Date | 09/29/2009
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Last Update Date | 09/29/2009
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Provider Practice Location Address
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Address Line | 4500 E 9TH AVE SUITE 420
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City | DENVER
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State | CO
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Zip | 80220-3900
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Country | US
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Telephone | 303-329-5822
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Fax | 303-329-7934
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Provider Business Mailing Address
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Address Line | 4500 E 9TH AVE SUITE 420
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City | DENVER
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State | CO
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Zip | 80220-3900
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Country | US
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Telephone | 303-329-5822
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Fax | 303-329-7934
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Authorized Official
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Title or Position | PHYSICIAN OWNER
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Name | DR. KRISTINELL KEIL
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Credential | M.D.
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Telephone | 303-329-5822
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207VG0400X
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Taxonomy Name | Gynecology Physician
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License Number | 35161
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License Number State | CO
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