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General NPI Number Information
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NPI Number | 1265763866
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Entity Type | Organization
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Legal Business Name | PORTERCARE ADVENTIST HOSPITAL/CENURA HEALTH
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Dates
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Enumeration Date | 01/21/2010
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Last Update Date | 01/21/2010
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Provider Practice Location Address
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Address Line | 2465 S DOWNING ST STE 110
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City | DENVER
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State | CO
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Zip | 80210-5822
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Country | US
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Telephone | 303-765-6970
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Fax |
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Provider Business Mailing Address
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Address Line | 2465 S DOWNING ST STE 110
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City | DENVER
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State | CO
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Zip | 80210-5822
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Country | US
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Telephone | 303-765-6970
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Fax |
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Authorized Official
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Title or Position | PEPCS MANAGER
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Name | AMY STEVENS
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Credential | LPC
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Telephone | 303-778-2563
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 282N00000X
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Taxonomy Name | General Acute Care Hospital
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License Number | 5507
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License Number State | CO
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