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General NPI Number Information
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NPI Number | 1205246444
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Entity Type | Organization
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Legal Business Name | VIDSTONE LLC
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Dates
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Enumeration Date | 04/28/2014
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Last Update Date | 04/13/2018
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Provider Practice Location Address
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Address Line | 5485 S AUTUMN CT
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City | GREENWOOD VILLAGE
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State | CO
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Zip | 80111-3417
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Country | US
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Telephone | 303-500-1820
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Fax | 303-732-6466
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Provider Business Mailing Address
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Address Line | 5485 S AUTUMN CT
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City | GREENWOOD VILLAGE
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State | CO
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Zip | 80111-3417
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Country | US
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Telephone | 303-500-1820
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Fax | 303-732-6466
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Authorized Official
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Title or Position | MANAGING MEMBER
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Name | S AGUIRRE
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Credential |
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Telephone | 303-500-1820
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 341600000X
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Taxonomy Name | Ambulance
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 3416A0800X
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Taxonomy Name | Air Ambulance
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 3416L0300X
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Taxonomy Name | Land Ambulance
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 207PE0004X
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Taxonomy Name | Emergency Medical Services (Emergency Medicine) Physician
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 251B00000X
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Taxonomy Name | Case Management Agency
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License Number |
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License Number State |
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