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General NPI Number Information
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NPI Number | 1033138177
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Entity Type | Individual
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Provider Name | MATTHEW L KOLZ M.D.
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Gender | Male
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Dates
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Enumeration Date | 07/19/2006
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Last Update Date | 10/10/2007
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Provider Practice Location Address
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Address Line | 1400 E BOULDER ST DEPT OF ANESTHESIA - MEMORIAL HOSPITAL
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City | COLORADO SPRINGS
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State | CO
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Zip | 80909-5533
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Country | US
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Telephone | 719-365-6999
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Fax |
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Provider Business Mailing Address
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Address Line | DEPT # 1029 DEPT OF ANESTHESIA - MEMORIAL HOSPITAL
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City | DENVER
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State | CO
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Zip | 80263-0001
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Country | US
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Telephone | 352-867-8898
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Fax | 352-732-6282
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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 | 45631
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License Number State | CO
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