MEDICARE: JAMES COLE ABRAMS, LLC

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	251S00000X	Community/Behavioral Health Agency	NLC.0105166	CO

General Provider Information

NPI Number	:	1881140143
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	JAMES COLE ABRAMS, LLC

Provider Business Mailing Address
First Line	:	1252 CORONA ST
Second Line	:	APT 4
City	:	DENVER
State	:	CO
Zip	:	80218
Country	:	US
Telephone Number	:	720-432-5680
Fax Number	:

Provider Business Practice Location Address
First Line	:	1252 CORONA ST
Second Line	:	APT 4
City	:	DENVER
State	:	CO
Zip	:	80218
Country	:	US
Telephone Number	:	720-432-5680
Fax Number	:

Authorized Official
Title or Position	:	COUNSELOR
Name	:	JAMES COLE ABRAMS
Credential	:
Telephone Number	:	720-432-5680

Provider Enumeration Date	:	08/28/2016
Last Update Date	:	08/28/2016

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