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General NPI Number Information
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NPI Number | 1366870859
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Entity Type | Organization
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Legal Business Name | ANIMAL CARE CENTER OF CASTLE ROCK
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Dates
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Enumeration Date | 10/22/2013
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Last Update Date | 10/22/2013
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Provider Practice Location Address
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Address Line | 562 E CASTLE PINES PKWY STE C5
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City | CASTLE PINES
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State | CO
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Zip | 80108-4609
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Country | US
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Telephone | 303-688-3660
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Fax | 303-688-3242
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Provider Business Mailing Address
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Address Line | 562 E CASTLE PINES PKWY STE C5
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City | CASTLE PINES
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State | CO
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Zip | 80108-4609
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Country | US
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Telephone | 303-688-3660
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Fax | 303-688-3242
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Authorized Official
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Title or Position | OWNER/HOSPITAL ADMINISTATOR
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Name | DR. LINDSAY MARIE MAMULA
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Credential | DVM, MBA, CVPM
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Telephone | 303-688-3660
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 284300000X
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Taxonomy Name | Special Hospital
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License Number | 7735
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License Number State | CO
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