MEDICARE: ZEPOL ENTERPRISES

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy
1	2084A0401X	Addiction Medicine (Psychiatry & Neurology) Physician
2	208D00000X	General Practice Physician
3	261QM1300X	Multi-Specialty Clinic/Center

General Provider Information

NPI Number	:	1487298485
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ZEPOL ENTERPRISES

Provider Business Mailing Address
First Line	:	9725 E HAMPDEN AVE STE 308
Second Line	:
City	:	DENVER
State	:	CO
Zip	:	80231-4919
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	9725 E HAMPDEN AVE STE 308
Second Line	:
City	:	DENVER
State	:	CO
Zip	:	80231-4919
Country	:	US
Telephone Number	:	303-339-0420
Fax Number	:

Authorized Official
Title or Position	:	MANAGING MEMBER
Name	:	MATTHEW LOPEZ
Credential	:
Telephone Number	:	516-287-3622

Provider Enumeration Date	:	11/01/2019
Last Update Date	:	11/01/2019

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Directions to “ZEPOL ENTERPRISES ” Practice Location

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