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General NPI Number Information
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NPI Number | 1902430945
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Entity Type | Organization
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Legal Business Name | CLOUD MEDICAL LLC
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Dates
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Enumeration Date | 02/28/2020
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Last Update Date | 02/28/2020
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Provider Practice Location Address
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Address Line | 2017 100 YEARPARTY CT UNIT 1
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City | LONGMONT
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State | CO
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Zip | 80504-8483
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Country | US
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Telephone | 303-848-3800
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Fax | 303-848-4910
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Provider Business Mailing Address
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Address Line | 2017 100 YEARPARTY CT UNIT 1
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City | LONGMONT
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State | CO
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Zip | 80504-8483
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Country | US
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Telephone | 303-848-3800
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Fax | 303-848-4910
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Authorized Official
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Title or Position | CEO/PROVIDER
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Name | DR. DAVID Z TUSEK
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Credential | MD
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Telephone | 303-848-3800
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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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