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General NPI Number Information
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NPI Number | 1891846663
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Entity Type | Organization
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Legal Business Name | LISA M. HUNSICKER, MD, P.C.
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Dates
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Enumeration Date | 01/16/2007
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Last Update Date | 03/07/2023
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Provider Practice Location Address
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Address Line | 7750 S BROADWAY STE 150
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City | LITTLETON
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State | CO
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Zip | 80122-2632
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Country | US
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Telephone | 720-283-2500
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Fax | 720-283-1122
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Provider Business Mailing Address
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Address Line | 7750 S BROADWAY STE 150
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City | LITTLETON
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State | CO
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Zip | 80122-2632
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Country | US
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Telephone | 720-283-2500
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Fax | 720-283-1122
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Authorized Official
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Title or Position | OWNER
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Name | DR. LISA M HUNSICKER
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Credential | MD
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Telephone | 720-283-2500
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM2500X
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Taxonomy Name | Medical Specialty Clinic/Center
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License Number | 00000
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License Number State | CO
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