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General NPI Number Information
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NPI Number | 1972733004
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Entity Type | Organization
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Legal Business Name | HEALTHONE HIGH STREET PRIMARY CARE
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Dates
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Enumeration Date | 07/23/2009
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Last Update Date | 11/24/2025
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Provider Practice Location Address
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Address Line | 1721 E 19TH AVE SUITE 500
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City | DENVER
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State | CO
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Zip | 80218-1251
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Country | US
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Telephone | 303-869-2160
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Fax | 303-869-2544
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Provider Business Mailing Address
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Address Line | 2000 HEALTH PARK DR
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City | BRENTWOOD
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State | TN
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Zip | 37027-4692
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Country | US
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Telephone | 615-373-7406
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Fax |
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Authorized Official
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Title or Position | VICE PRESIDENT
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Name | THOMAS FENDER
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Credential | M.D.
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Telephone | 303-584-8111
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number | 26186
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License Number State | CO
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Taxonomy #2
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Taxonomy Code | 207RE0101X
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Taxonomy Name | Endocrinology, Diabetes & Metabolism Physician
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License Number | 26186
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License Number State | CO
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Taxonomy #3
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Taxonomy Code | 207VG0400X
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Taxonomy Name | Gynecology Physician
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License Number | 26186
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License Number State | CO
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Taxonomy #4
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Taxonomy Code | 2083P0901X
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Taxonomy Name | Public Health & General Preventive Medicine Physician
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License Number | 26186
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License Number State | CO
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Taxonomy #5
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Taxonomy Code | 207RA0000X
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Taxonomy Name | Adolescent Medicine (Internal Medicine) Physician
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License Number | 26186
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License Number State | CO
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Taxonomy #6
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Taxonomy Code | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number | 26186
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License Number State | CO
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Taxonomy #7
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 26186
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License Number State | CO
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