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General NPI Number Information
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NPI Number | 1982425674
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Entity Type | Organization
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Legal Business Name | THE REGENTS OF THE UNIVERSITY OF COLORADO
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Dates
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Enumeration Date | 10/24/2024
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Last Update Date | 10/24/2024
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Provider Practice Location Address
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Address Line | 1630 S ACOMA ST
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City | DENVER
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State | CO
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Zip | 80223-3602
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Country | US
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Telephone | 303-315-6199
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Fax | 855-919-4349
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Provider Business Mailing Address
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Address Line | 3525 W OXFORD AVE UNIT G-1
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City | DENVER
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State | CO
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Zip | 80236-3112
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Country | US
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Telephone | 303-315-6176
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Fax | 833-441-1944
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Authorized Official
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Title or Position | BILLING & FINANCE LEAD
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Name | TRACEY PHILLIPS
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Credential |
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Telephone | 303-315-6176
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QF0400X
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Taxonomy Name | Federally Qualified Health Center (FQHC)
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License Number |
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License Number State |
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