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General NPI Number Information
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NPI Number | 1154054716
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Entity Type | Organization
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Legal Business Name | ELK RIVER ANESTHESIA ASSOCIATES, P.C.
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Dates
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Enumeration Date | 07/01/2022
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Last Update Date | 07/01/2022
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Provider Practice Location Address
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Address Line | 705 MARKETPLACE PLZ STE 150
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City | STEAMBOAT SPRINGS
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State | CO
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Zip | 80487-1837
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Country | US
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Telephone | 970-819-3158
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Fax |
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Provider Business Mailing Address
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Address Line | 1024 CENTRAL PARK DR
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City | STEAMBOAT SPRINGS
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State | CO
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Zip | 80487-8813
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | SCOTT FOREST KEMPERS
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Credential |
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Telephone | 970-846-9619
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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 |
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License Number State |
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