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General NPI Number Information
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NPI Number | 1902128507
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Entity Type | Organization
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Legal Business Name | URGENT CARE CENTENNIAL PC
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Dates
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Enumeration Date | 02/23/2010
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Last Update Date | 09/25/2012
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Provider Practice Location Address
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Address Line | 8006 E ARAPAHOE RD UNIT 100
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City | CENTENNIAL
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State | CO
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Zip | 80112-6815
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Country | US
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Telephone | 303-220-9168
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Fax |
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Provider Business Mailing Address
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Address Line | 8006 E ARAPAHOE RD UNIT 100
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City | CENTENNIAL
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State | CO
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Zip | 80112-6815
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Country | US
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Telephone | 303-220-9168
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | STEVE NITCHEN
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Credential |
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Telephone | 303-220-9172
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QU0200X
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Taxonomy Name | Urgent Care Clinic/Center
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License Number |
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License Number State |
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