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NPI 1417053877

NPI 1417053877 : CATHOLIC HEALTH INITIATIVES COLORADO : COLORADO SPRINGS, CO

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General NPI Number Information
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    NPI Number           |    1417053877
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    Entity Type          |    Organization 
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    Legal Business Name  |    CATHOLIC HEALTH INITIATIVES COLORADO 
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Dates
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    Enumeration Date     |    09/15/2006
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    Last Update Date     |    09/24/2009
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Provider Practice Location Address
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    Address Line         |    825 E PIKES PEAK AVE 
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    City                 |    COLORADO SPRINGS
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    State                |    CO
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    Zip                  |    80903-3635
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    Country              |    US
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    Telephone            |    719-776-8716
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    Fax                  |    719-776-8718
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Provider Business Mailing Address
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    Address Line         |    DEPT 1193 
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    City                 |    DENVER
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    State                |    CO
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    Zip                  |    80291-1193
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    Country              |    US
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    Telephone            |    303-486-5500
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    Fax                  |    303-486-5501
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Authorized Official
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    Title or Position    |    CFO
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    Name                 |     RAMY  HANNA 
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    Credential           |    
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    Telephone            |    303-804-8189
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    207Q00000X
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    Taxonomy Name        |    Family Medicine Physician
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    License Number       |    
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    License Number State |    
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Taxonomy #2
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    Taxonomy Code        |    2084P0800X
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    Taxonomy Name        |    Psychiatry Physician
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    License Number       |    
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    License Number State |    
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