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General NPI Number Information
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NPI Number | 1891653382
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Entity Type | Organization
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Legal Business Name | CONNECTIVE CARE FAMILY PRACTICE
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Dates
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Enumeration Date | 01/13/2026
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Last Update Date | 01/13/2026
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Provider Practice Location Address
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Address Line | 15500 N GRANT ST STE N
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City | DENVER
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State | CO
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Zip | 80203
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Country | US
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Telephone | 720-505-4903
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Fax |
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Provider Business Mailing Address
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Address Line | 15500 N GRANT ST STE N
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City | DENVER
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State | CO
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Zip | 80203
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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 | AUTHORIZED OFFICIAL
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Name | TABETHA RATLIFF
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Credential | MD
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Telephone | 216-233-5172
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number |
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License Number State |
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