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General NPI Number Information
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NPI Number | 1962615732
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Entity Type | Individual
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Provider Name | ROLAND K KAFUUMA M.D.
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Gender | Male
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Dates
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Enumeration Date | 05/08/2007
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Last Update Date | 01/19/2021
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Provider Practice Location Address
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Address Line | 1950 MOUNTAIN VIEW AVE STE 250
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City | LONGMONT
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State | CO
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Zip | 80501-3129
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Country | US
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Telephone | 303-651-5111
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Fax | 303-485-4240
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Provider Business Mailing Address
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Address Line | 1950 MOUNTAIN VIEW AVE
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City | LONGMONT
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State | CO
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Zip | 80501-3129
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Country | US
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Telephone | 303-651-5111
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Fax | 303-586-8206
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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 | 208M00000X
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Taxonomy Name | Hospitalist Physician
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License Number | CDRH.0048370
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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 | 48370
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License Number State | CO
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