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General NPI Number Information
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NPI Number | 1932928686
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Entity Type | Organization
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Legal Business Name | BUSINESS FOUNDRY LLC
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Dates
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Enumeration Date | 10/09/2024
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Last Update Date | 10/09/2024
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Provider Practice Location Address
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Address Line | 9044 FORSSTROM DR
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City | LONE TREE
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State | CO
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Zip | 80124-5574
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Country | US
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Telephone | 303-803-4338
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Fax |
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Provider Business Mailing Address
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Address Line | 9044 FORSSTROM DR
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City | LONE TREE
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State | CO
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Zip | 80124-5574
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Country | US
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Telephone | 303-803-4338
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. SOUFIANE ELAAMILI
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Credential | MBA
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Telephone | 303-803-4338
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QV0200X
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Taxonomy Name | VA Clinic/Center
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License Number |
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License Number State |
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