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General NPI Number Information
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NPI Number | 1386042844
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Entity Type | Organization
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Legal Business Name | PAIN AND SPINE AT ST. FRANCIS
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Dates
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Enumeration Date | 12/16/2014
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Last Update Date | 12/16/2014
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Provider Practice Location Address
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Address Line | 6011 E WOODMEN RD SUITE 365
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City | COLORADO SPRINGS
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State | CO
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Zip | 80923-2602
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Country | US
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Telephone | 719-380-7246
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Fax | 719-380-8282
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Provider Business Mailing Address
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Address Line | 6011 E WOODMEN RD SUITE 365
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City | COLORADO SPRINGS
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State | CO
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Zip | 80923-2602
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Country | US
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Telephone | 719-380-7246
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Fax | 719-380-8282
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Authorized Official
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Title or Position | OWNER
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Name | WILLIAM LIPPERT III
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Credential | M.D.
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Telephone | 719-380-7246
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207LP2900X
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Taxonomy Name | Pain Medicine (Anesthesiology) Physician
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License Number | DR0025034
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License Number State | CO
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