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General NPI Number Information
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NPI Number | 1013916881
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Entity Type | Individual
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Provider Name | CHARLES HERBERT RIPP MD
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Gender | Male
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Dates
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Enumeration Date | 07/14/2005
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Last Update Date | 07/22/2018
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Provider Practice Location Address
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Address Line | 8540 SCARBOROUGH DR SUITE 370
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City | COLORADO SPRINGS
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State | CO
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Zip | 80920-7502
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Country | US
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Telephone | 719-358-8270
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Fax | 719-358-8299
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Provider Business Mailing Address
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Address Line | 8000 E MAPLEWOOD AVE STE 200
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City | GREENWOOD VILLAGE
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State | CO
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Zip | 80111-4727
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Country | US
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Telephone | 719-358-8270
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Fax | 719-358-8299
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number | 27928
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License Number State | CO
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Taxonomy #2
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Taxonomy Code | 207LP2900X
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Taxonomy Name | Pain Medicine (Anesthesiology) Physician
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License Number | 27928
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License Number State | CO
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