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General NPI Number Information
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NPI Number | 1992817274
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Entity Type | Organization
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Legal Business Name | STEVEN F PODGORSKI MD PC
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Dates
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Enumeration Date | 08/31/2006
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Last Update Date | 10/09/2007
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Provider Practice Location Address
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Address Line | 601 E HAMPDEN SUITE 490
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City | ENGLEWOOD
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State | CO
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Zip | 80113-2799
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Country | US
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Telephone | 303-761-9944
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Fax | 303-788-6995
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Provider Business Mailing Address
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Address Line | 601 E HAMPDEN SUITE 490
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City | ENGLEWOOD
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State | CO
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Zip | 80113-2799
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Country | US
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Telephone | 303-761-9944
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Fax | 303-788-6995
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Authorized Official
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Title or Position | OWNER PRESIDENT
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Name | DR. STEVEN F PODGORSKI
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Credential | MD
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Telephone | 303-761-9944
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207W00000X
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Taxonomy Name | Ophthalmology Physician
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License Number | 25807
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License Number State | CO
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