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General NPI Number Information
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NPI Number | 1447799044
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Entity Type | Organization
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Legal Business Name | GREENWOOD ASC, LLC
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Dates
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Enumeration Date | 02/15/2017
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Last Update Date | 07/23/2021
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Provider Practice Location Address
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Address Line | 355 UNION BLVD STE 10
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City | LAKEWOOD
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State | CO
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Zip | 80228-1500
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Country | US
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Telephone | 972-763-3893
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Fax | 972-692-6745
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Provider Business Mailing Address
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Address Line | 355 UNION BLVD
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City | LAKEWOOD
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State | CO
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Zip | 80228-6516
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Country | US
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Telephone | 972-763-3893
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Fax | 303-689-8700
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Authorized Official
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Title or Position | OFFICER / AUTHORIZED OFFICIAL
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Name | TERESA DANNA
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Credential |
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Telephone | 972-763-3890
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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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