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General NPI Number Information
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NPI Number | 1265690093
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Entity Type | Organization
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Legal Business Name | EXCEPTIONAL CARE FOR WOMEN, PLLC
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Dates
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Enumeration Date | 05/29/2008
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Last Update Date | 11/03/2025
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Provider Practice Location Address
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Address Line | 6011 EAST WOODMEN ROAD SUITE 305
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City | COLORADO SPRINGS
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State | CO
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Zip | 80923
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Country | US
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Telephone | 719-884-9962
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Fax | 719-884-9963
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Provider Business Mailing Address
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Address Line | 6011 EAST WOODMEN ROAD SUITE 305
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City | COLORADO SPRINGS
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State | CO
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Zip | 80923
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Country | US
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Telephone | 719-884-9962
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Fax | 719-884-9963
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Authorized Official
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Title or Position | PRACTICE ADMINISTER
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Name | KRISTEN GREEN
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Credential | CMM
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Telephone | 719-884-9962
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number | 32641
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License Number State | CO
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