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General NPI Number Information
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NPI Number | 1114648219
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Entity Type | Organization
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Legal Business Name | CLINICS FOR ABORTION AND REPRODUCTIVE EXCELLENCE, LLC.
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Dates
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Enumeration Date | 09/07/2022
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Last Update Date | 09/07/2022
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Provider Practice Location Address
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Address Line | 1930 E ORMAN AVE
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City | PUEBLO
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State | CO
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Zip | 81004-3553
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Country | US
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Telephone | 402-251-5979
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Fax |
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Provider Business Mailing Address
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Address Line | 1002 W MISSION AVE
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City | BELLEVUE
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State | NE
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Zip | 68005-3947
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Country | US
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Telephone | 402-251-5979
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Fax |
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Authorized Official
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Title or Position | FINANCIAL/LICENSURE DIRECTOR
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Name | JESSICA VOSLER
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Credential |
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Telephone | 402-251-5979
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number |
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License Number State |
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