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General NPI Number Information
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NPI Number | 1871870493
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Entity Type | Organization
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Legal Business Name | HEART TO HAND THERAPEUTICS, INC.
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Dates
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Enumeration Date | 11/10/2011
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Last Update Date | 11/10/2011
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Provider Practice Location Address
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Address Line | 821 PARK ST STE A
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City | CASTLE ROCK
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State | CO
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Zip | 80109-3135
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Country | US
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Telephone | 303-814-7231
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Fax |
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Provider Business Mailing Address
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Address Line | 409 ANDERSON ST
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City | CASTLE ROCK
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State | CO
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Zip | 80104-2545
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Country | US
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Telephone | 303-814-7231
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | MS. GAIL CHODERA
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Credential | CMT
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Telephone | 303-814-7231
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number | MT 1330
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License Number State | CO
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