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General NPI Number Information
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NPI Number | 1437501145
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Entity Type | Organization
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Legal Business Name | NORTH CARE ASC, LLC
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Dates
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Enumeration Date | 07/06/2016
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Last Update Date | 01/24/2019
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Provider Practice Location Address
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Address Line | 6071 E WOODMEN RD SUITE 352
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City | COLORADO SPRINGS
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State | CO
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Zip | 80923-2607
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Country | US
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Telephone | 719-531-7007
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Fax | 719-531-7122
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Provider Business Mailing Address
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Address Line | 6071 E WOODMEN RD SUITE 352
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City | COLORADO SPRINGS
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State | CO
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Zip | 80923-2607
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Country | US
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Telephone | 719-531-9794
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Fax | 719-531-0580
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Authorized Official
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Title or Position | CEO, PRESIDENT
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Name | MR. JEFFREY A MOODY
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Credential | MD
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Telephone | 719-210-8818
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QA1903X
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Taxonomy Name | Ambulatory Surgical Clinic/Center
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License Number |
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License Number State |
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