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General NPI Number Information
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NPI Number | 1134721145
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Entity Type | Organization
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Legal Business Name | PEAK GASTROENTEROLOGY ASSOCIATES PC
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Dates
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Enumeration Date | 11/13/2020
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Last Update Date | 11/13/2020
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Provider Practice Location Address
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Address Line | 595 CHAPEL HILLS DR STE 303
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City | COLORADO SPRINGS
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State | CO
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Zip | 80920-1057
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Country | US
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Telephone | 719-636-1201
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Fax | 719-955-0986
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Provider Business Mailing Address
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Address Line | 2920 N CASCADE AVE FL 3
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City | COLORADO SPRINGS
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State | CO
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Zip | 80907-6262
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Country | US
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Telephone | 719-636-1201
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Fax | 719-955-0986
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Authorized Official
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Title or Position | AUTHORIZED OFFICIAL / MEDICAL DR
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Name | BHAKTASHARAN CHIMANBHAI PATEL
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Credential |
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Telephone | 719-636-1201
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RG0100X
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Taxonomy Name | Gastroenterology Physician
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License Number |
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License Number State |
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