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General NPI Number Information
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NPI Number | 1255744660
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Entity Type | Organization
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Legal Business Name | ACH EVANS-CARSON
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Dates
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Enumeration Date | 06/04/2014
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Last Update Date | 06/13/2025
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Provider Practice Location Address
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Address Line | 1650 COCHRANE CIR EVANS ARMY COMMUNITY HOSPITAL
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City | FORT CARSON
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State | CO
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Zip | 80913-4613
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Country | US
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Telephone | 719-524-4410
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Fax | 719-526-5917
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Provider Business Mailing Address
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Address Line | EVANS ARMY COMMUNITY HOSPITAL 1650 COCHRANE CIRCLE BLDG 7500 ROOM 1036 ATTN: TREASURERS OFFICE
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City | FORT CARSON
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State | CO
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Zip | 80913-4604
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Country | US
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Telephone | 719-524-4410
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Fax | 719-526-5917
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Authorized Official
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Title or Position | MTF SUPPORT
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Name | ROSEMARY GONZALEZ
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Credential |
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Telephone | 210-536-6650
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 333600000X
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Taxonomy Name | Pharmacy
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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 | 332000000X
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Taxonomy Name | Military/U.S. Coast Guard Pharmacy
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License Number |
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License Number State |
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