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General NPI Number Information
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NPI Number | 1922336015
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Entity Type | Organization
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Legal Business Name | COMPREHENSIVE HEALTHCARE CENTER
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Dates
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Enumeration Date | 11/30/2009
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Last Update Date | 11/30/2009
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Provider Practice Location Address
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Address Line | 5810 W ALAMEDA AVE STE 109
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City | LAKEWOOD
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State | CO
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Zip | 80226-3590
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Country | US
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Telephone | 303-237-6162
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Fax |
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Provider Business Mailing Address
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Address Line | 5810 W ALAMEDA AVE STE 109
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City | LAKEWOOD
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State | CO
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Zip | 80226-3590
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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 | MEDICAL DIRECTOR
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Name | DR. JOHN V WU
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Credential | M.D.
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Telephone | 303-237-6162
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 111NI0900X
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Taxonomy Name | Internist Chiropractor
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License Number | CHR6415
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License Number State | CO
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Taxonomy #2
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 37847
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License Number State | CO
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