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General NPI Number Information
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NPI Number | 1881635977
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Entity Type | Organization
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Legal Business Name | DENVER HEALTH & HOSPITAL AUTHORITY
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Dates
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Enumeration Date | 06/09/2006
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Last Update Date | 08/26/2015
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Provider Practice Location Address
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Address Line | 4545 NAVAJO ST
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City | DENVER
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State | CO
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Zip | 80211-2440
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Country | US
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Telephone | 303-436-8700
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Fax |
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Provider Business Mailing Address
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Address Line | 777 BANNOCK ST
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City | DENVER
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State | CO
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Zip | 80204-4507
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Country | US
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Telephone | 303-436-6000
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Fax |
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Authorized Official
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Title or Position | CFO
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Name | MS. PEGGY J BURNETTE
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Credential | CPA
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Telephone | 303-602-4964
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QF0400X
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Taxonomy Name | Federally Qualified Health Center (FQHC)
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License Number | 0900
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License Number State | CO
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