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General NPI Number Information
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NPI Number | 1861941130
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Entity Type | Organization
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Legal Business Name | ERX CONSULTING
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Dates
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Enumeration Date | 09/28/2016
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Last Update Date | 09/28/2016
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Provider Practice Location Address
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Address Line | 6133 E MINERAL DR
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City | CENTENNIAL
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State | CO
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Zip | 80112-3009
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Country | US
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Telephone | 720-837-8302
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Fax |
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Provider Business Mailing Address
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Address Line | 6133 E MINERAL DR
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City | CENTENNIAL
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State | CO
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Zip | 80112-3009
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | CODY WAYNE SCOTT
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Credential |
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Telephone | 720-837-8302
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 305S00000X
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Taxonomy Name | Point of Service
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License Number | 2006040
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License Number State | CO
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