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General NPI Number Information
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NPI Number | 1285055319
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Entity Type | Organization
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Legal Business Name | CATHOLIC HEALTH INITIATIVES COLORADO
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Dates
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Enumeration Date | 12/16/2013
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Last Update Date | 12/16/2013
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Provider Practice Location Address
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Address Line | 2222 N NEVADA AVE
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City | COLORADO SPRINGS
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State | CO
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Zip | 80907-6819
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Country | US
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Telephone | 719-776-7983
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 3420
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City | SPOKANE
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State | WA
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Zip | 99220-6000
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Country | US
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Telephone | 509-927-6250
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Fax |
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Authorized Official
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Title or Position | CFO
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Name | MR. DANIEL J REEVES
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Credential |
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Telephone | 719-776-5911
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 291U00000X
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Taxonomy Name | Clinical Medical Laboratory
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License Number | 06D0517383
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License Number State | CO
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