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General NPI Number Information
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NPI Number | 1962391631
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Entity Type | Organization
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Legal Business Name | GREEN SPRINGS MEDICAL AND HEALTHCARE INC
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Dates
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Enumeration Date | 06/30/2025
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Last Update Date | 06/30/2025
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Provider Practice Location Address
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Address Line | 19557 E 39TH AVE
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City | DENVER
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State | CO
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Zip | 80249-7347
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Country | US
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Telephone | 720-387-1906
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Fax |
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Provider Business Mailing Address
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Address Line | 19557 E 39TH AVE
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City | DENVER
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State | CO
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Zip | 80249-7347
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Country | US
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Telephone | 720-387-1906
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Fax |
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Authorized Official
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Title or Position | CHIEF MEDICAL OFFICER
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Name | ADESOJI OLUFIKAYO AJALA
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Credential | NP
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Telephone | 720-400-2706
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP2300X
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Taxonomy Name | Primary Care Clinic/Center
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License Number |
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License Number State |
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