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General NPI Number Information
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NPI Number | 1306226774
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Entity Type | Organization
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Legal Business Name | INTEGRATED HEALTH SOLUTIONS LLC
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Dates
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Enumeration Date | 06/01/2015
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Last Update Date | 06/01/2015
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Provider Practice Location Address
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Address Line | 7606 N UNION BLVD SUITE A
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City | COLORADO SPRINGS
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State | CO
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Zip | 80920-3850
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Country | US
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Telephone | 719-573-2254
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Fax | 719-598-0331
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Provider Business Mailing Address
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Address Line | 11807 WESTHEIMER RD # 550-158
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City | HOUSTON
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State | TX
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Zip | 77077-6789
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Country | US
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Telephone | 281-580-1423
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Fax | 281-580-1453
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Authorized Official
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Title or Position | BILLING MANGER
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Name | MRS. MICHELLE O LOPEZ
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Credential | BILLER
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Telephone | 281-580-1453
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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 | 1841455417
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License Number State | CO
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