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General NPI Number Information
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NPI Number | 1992202881
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Entity Type | Organization
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Legal Business Name | ERROR
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Dates
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Enumeration Date | 04/09/2018
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Last Update Date | 04/23/2018
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Provider Practice Location Address
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Address Line | 8800 RALSTON RD STE 204
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City | ARVADA
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State | CO
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Zip | 80002-2249
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Country | US
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Telephone | 303-209-7590
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Fax | 303-208-7590
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Provider Business Mailing Address
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Address Line | PO BOX 29037
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City | THORNTON
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State | CO
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Zip | 80229-0037
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | DR. AMAR G PATEL
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Credential | MD
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Telephone | 562-536-8422
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP3300X
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Taxonomy Name | Pain Clinic/Center
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 208100000X
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Taxonomy Name | Physical Medicine & Rehabilitation Physician
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License Number |
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License Number State |
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