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General NPI Number Information
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NPI Number | 1386200269
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Entity Type | Organization
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Legal Business Name | BPERSONS CRNA PLLC
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Dates
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Enumeration Date | 05/15/2019
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Last Update Date | 03/03/2025
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Provider Practice Location Address
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Address Line | 1330 QUAIL LAKE LOOP STE 220
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City | COLORADO SPRINGS
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State | CO
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Zip | 80906-4651
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Country | US
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Telephone | 719-203-6111
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Fax | 877-247-9218
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Provider Business Mailing Address
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Address Line | 5830 EGGAR CT
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City | PEYTON
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State | CO
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Zip | 80831-8103
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Country | US
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Telephone | 830-832-3395
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Fax | 719-354-4530
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Authorized Official
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Title or Position | OWNER
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Name | BRENT JON PERSONS
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Credential | CRNA
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Telephone | 830-832-3395
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP3300X
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Taxonomy Name | Pain Clinic/Center
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License Number |
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License Number State |
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