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NPI 1417161811

NPI 1417161811 : DANIEL CASE MD : COLORADO SPRINGS, CO

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General NPI Number Information
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    NPI Number           |    1417161811
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    Entity Type          |    Individual 
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    Provider Name        |    DANIEL CASE MD
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    05/09/2007
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    Last Update Date     |    01/30/2025
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Provider Practice Location Address
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    Address Line         |    2222 N NEVADA AVE STE 5001 
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    City                 |    COLORADO SPRINGS
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    State                |    CO
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    Zip                  |    80907-6865
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    Country              |    US
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    Telephone            |    719-776-3580
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    Fax                  |    719-776-3599
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Provider Business Mailing Address
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    Address Line         |    PO BOX 800022 
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    City                 |    KANSAS CITY
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    State                |    MO
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    Zip                  |    64180-0022
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    Country              |    US
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    Telephone            |    800-953-0104
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    Fax                  |    303-765-6670
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Authorized Official
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    Title or Position    |    
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    Name                 |        
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    Credential           |    
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    Telephone            |    
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    2085N0700X
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    Taxonomy Name        |    Neuroradiology Physician
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    License Number       |    ME 116176
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    License Number State |    FL
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Taxonomy #2
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    Taxonomy Code        |    2085R0204X
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    Taxonomy Name        |    Vascular & Interventional Radiology Physician
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    License Number       |    DR.0069871
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    License Number State |    CO
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Taxonomy #3
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    Taxonomy Code        |    2085R0202X
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    Taxonomy Name        |    Diagnostic Radiology Physician
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    License Number       |    DR.0069871
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    License Number State |    CO
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