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General NPI Number Information
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NPI Number | 1891004891
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Entity Type | Organization
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Legal Business Name | VASCULAR TECHNOLOGY, LLC
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Dates
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Enumeration Date | 09/25/2010
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Last Update Date | 01/11/2012
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Provider Practice Location Address
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Address Line | 8150 S AKRON ST #405
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City | CENTENNIAL
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State | CO
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Zip | 80112-3507
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Country | US
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Telephone | 720-633-9089
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Fax |
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Provider Business Mailing Address
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Address Line | 8150 S AKRON ST #405
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City | CENTENNIAL
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State | CO
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Zip | 80112-3507
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Country | US
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Telephone | 720-633-9089
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Fax |
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Authorized Official
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Title or Position | MANAGING MEMBER/GENERAL MANAGER
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Name | MR. DAVID CHARLES HOFFMAN
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Credential |
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Telephone | 303-883-2445
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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License Number |
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License Number State |
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