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General NPI Number Information
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NPI Number | 1154805067
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Entity Type | Organization
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Legal Business Name | UCH-MHS
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Dates
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Enumeration Date | 09/18/2018
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Last Update Date | 11/21/2023
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Provider Practice Location Address
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Address Line | 4050 BRIARGATE PKWY RM C1318
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City | COLORADO SPRINGS
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State | CO
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Zip | 80920-7815
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Country | US
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Telephone | 719-364-2424
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Fax |
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Provider Business Mailing Address
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Address Line | 2695 ROCKY MOUNTAIN AVE STE 150
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City | LOVELAND
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State | CO
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Zip | 80538-9071
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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 | CFO
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Name | GREGORY ALAN HARDEN
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Credential |
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Telephone | 719-365-5000
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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License Number |
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License Number State |
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