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General NPI Number Information
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NPI Number | 1376348722
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Entity Type | Organization
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Legal Business Name | ASE MEDICAL CO PLLC
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Dates
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Enumeration Date | 02/18/2025
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Last Update Date | 02/18/2025
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Provider Practice Location Address
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Address Line | 23750 E 14TH AVE STE 300
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City | AURORA
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State | CO
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Zip | 80018-1974
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Country | US
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Telephone | 720-830-4199
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Fax |
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Provider Business Mailing Address
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Address Line | 23750 E 14TH AVE STE 300
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City | AURORA
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State | CO
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Zip | 80018-1974
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Country | US
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Telephone | 720-830-4199
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | AKE EVANS
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Credential | MD
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Telephone | 720-830-4199
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2081P2900X
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Taxonomy Name | Pain Medicine (Physical Medicine & Rehabilitation) Physician
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License Number |
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License Number State |
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