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General NPI Number Information
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NPI Number | 1992063523
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Entity Type | Organization
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Legal Business Name | LA BELLA VITA WESTMINSTER, LLC
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Dates
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Enumeration Date | 05/02/2012
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Last Update Date | 05/02/2012
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Provider Practice Location Address
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Address Line | 8418 FEDERAL BLVD
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City | WESTMINSTER
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State | CO
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Zip | 80031-3818
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Country | US
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Telephone | 303-429-9000
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Fax |
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Provider Business Mailing Address
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Address Line | 8418 FEDERAL BLVD
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City | WESTMINSTER
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State | CO
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Zip | 80031-3818
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Country | US
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Telephone | 303-429-9000
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Fax |
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Authorized Official
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Title or Position | DR.
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Name | DR. JASON ROZESKI
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Credential | MD
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Telephone | 303-429-9000
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174H00000X
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Taxonomy Name | Health Educator
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License Number | 46587
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License Number State | CO
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