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General NPI Number Information
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NPI Number | 1922081488
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Entity Type | Organization
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Legal Business Name | METABOLITE LABORATORIES, INC.
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Dates
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Enumeration Date | 11/29/2005
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Last Update Date | 06/21/2011
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Provider Practice Location Address
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Address Line | 12700 E 19TH AVE RM 9490 BUILDING RC 2
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City | AURORA
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State | CO
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Zip | 80045-2560
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Country | US
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Telephone | 303-724-4086
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Fax | 303-724-4087
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Provider Business Mailing Address
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Address Line | 1133 14TH ST UNIT # 3600
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City | DENVER
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State | CO
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Zip | 80202-2202
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Country | US
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Telephone | 303-724-4086
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Fax | 303-724-4087
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. ROBERT H ALLEN
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Credential | M.D.
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Telephone | 303-724-4086
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 291U00000X
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Taxonomy Name | Clinical Medical Laboratory
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License Number |
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License Number State |
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