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General NPI Number Information
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NPI Number | 1417161589
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Entity Type | Organization
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Legal Business Name | INTEGRITY FAMILY HEALTHCARE PC
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Dates
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Enumeration Date | 05/09/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 1465 KELLY JOHNSON BLVD SUITE 100
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City | COLORADO SPRINGS
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State | CO
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Zip | 80920-3955
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Country | US
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Telephone | 719-572-0951
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Fax | 719-572-0955
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Provider Business Mailing Address
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Address Line | 1465 KELLY JOHNSON BLVD SUITE 100
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City | COLORADO SPRINGS
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State | CO
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Zip | 80920-3955
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Country | US
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Telephone | 719-572-0951
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Fax | 719-572-0955
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Authorized Official
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Title or Position | PRESIDENT
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Name | BRIAN OLIVIER
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Credential | M.D.
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Telephone | 719-572-0951
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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 | 27696
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License Number State | CO
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