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General NPI Number Information
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NPI Number | 1427250976
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Entity Type | Organization
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Legal Business Name | SKY RIDGE MEDICAL CENTER
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Dates
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Enumeration Date | 06/05/2007
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Last Update Date | 06/25/2008
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Provider Practice Location Address
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Address Line | 10101 RIDGEGATE PKWY
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City | LONE TREE
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State | CO
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Zip | 80124-5522
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Country | US
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Telephone | 720-225-1981
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Fax |
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Provider Business Mailing Address
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Address Line | 10460 E ABERDEEN AVE
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City | ENGLEWOOD
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State | CO
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Zip | 80111-5478
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Country | US
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Telephone | 303-721-0083
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Fax |
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Authorized Official
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Title or Position | ADULT NURSE PRACTITIONER
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Name | MS. JOAN ELIZABETH FEIL
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Credential |
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Telephone | 720-225-1981
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 282N00000X
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Taxonomy Name | General Acute Care Hospital
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License Number | 68537
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License Number State | CO
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