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General NPI Number Information
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NPI Number | 1881902500
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Entity Type | Individual
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Provider Name | RANDALL SCOTT MCDAVID NP
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Gender | Male
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Dates
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Enumeration Date | 09/15/2010
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Last Update Date | 08/08/2018
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Provider Practice Location Address
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Address Line | 6260 E COLFAX AVE
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City | DENVER
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State | CO
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Zip | 80220
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Country | US
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Telephone | 303-962-5317
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Fax | 720-372-7849
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Provider Business Mailing Address
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Address Line | 6260 E COLFAX AVE
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City | DENVER
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State | CO
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Zip | 80220-1515
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Country | US
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Telephone | 303-962-5317
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Fax | 720-372-7849
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 0101394
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License Number State | CO
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