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General NPI Number Information
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NPI Number | 1245442391
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Entity Type | Organization
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Legal Business Name | ACCESS LOCUMS SERVICE LLC
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Dates
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Enumeration Date | 05/03/2007
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Last Update Date | 11/30/2009
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Provider Practice Location Address
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Address Line | 5375 CHAMBREY CT
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City | COLORADO SPRINGS
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State | CO
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Zip | 80919-3539
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Country | US
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Telephone | 719-570-9415
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Fax | 719-637-2539
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Provider Business Mailing Address
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Address Line | 5375 CHAMBREY CT
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City | COLORADO SPRINGS
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State | CO
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Zip | 80919-3539
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Country | US
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Telephone | 719-570-9415
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Fax | 719-637-2539
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. CHRISTOPHER T RUSKEY
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Credential | MD
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Telephone | 719-570-9415
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 36458
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License Number State | CO
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