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General NPI Number Information
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NPI Number | 1104782614
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Entity Type | Organization
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Legal Business Name | ANIMAS SURGICAL HOSPITAL, LLC
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Dates
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Enumeration Date | 12/29/2025
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Last Update Date | 12/29/2025
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Provider Practice Location Address
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Address Line | 575 RIVERGATE LN UNIT 105
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City | DURANGO
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State | CO
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Zip | 81301-7490
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Country | US
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Telephone | 970-259-3020
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Fax | 970-259-9766
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Provider Business Mailing Address
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Address Line | 575 RIVERGATE LN UNIT 105
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City | DURANGO
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State | CO
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Zip | 81301-7490
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Country | US
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Telephone | 970-259-3020
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Fax | 970-259-9766
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Authorized Official
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Title or Position | OFFICER AND AUTHORIZED OFFICIAL
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Name | JENNIFER BOYD BALDOCK
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Credential |
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Telephone | 615-234-5954
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207X00000X
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Taxonomy Name | Orthopaedic Surgery Physician
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License Number |
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License Number State |
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