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General NPI Number Information
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NPI Number | 1942283569
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Entity Type | Individual
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Provider Name | GREGORY W. BURCHAM
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Gender | Male
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Dates
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Enumeration Date | 11/29/2005
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Last Update Date | 08/04/2015
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Provider Practice Location Address
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Address Line | 501 E. HAMPDEN AVENUE
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City | ENGLEWOOD
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State | CO
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Zip | 80113-2702
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Country | US
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Telephone | 303-788-6911
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Fax | 303-306-7753
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Provider Business Mailing Address
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Address Line | P.O. BOX 173862
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City | DENVER
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State | CO
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Zip | 80217-3862
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Country | US
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Telephone | 303-306-7783
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Fax | 303-306-7753
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number | 37782
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License Number State | CO
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Taxonomy #2
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Taxonomy Code | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number | DR.0037782
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License Number State | CO
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