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General NPI Number Information
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NPI Number | 1326557653
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Entity Type | Organization
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Legal Business Name | SJ EAST CAMPUS ASC, LLC
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Dates
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Enumeration Date | 09/29/2017
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Last Update Date | 07/21/2022
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Provider Practice Location Address
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Address Line | 1830 N FRANKLIN ST STE 200
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City | DENVER
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State | CO
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Zip | 80218-1128
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Country | US
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Telephone | 832-472-2028
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Fax |
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Provider Business Mailing Address
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Address Line | 1830 FRANKLIN STREET SUITE 200
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City | DENVER
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State | CO
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Zip | 80218
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Country | US
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Telephone | 832-472-2028
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Fax |
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Authorized Official
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Title or Position | CHIEF OPERATING OFFICER, ST. JOSEPH
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Name | MRS. BARB JAHN
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Credential |
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Telephone | 303-812-4934
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QA1903X
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Taxonomy Name | Ambulatory Surgical Clinic/Center
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License Number |
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License Number State |
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