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General NPI Number Information
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NPI Number | 1457359820
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Entity Type | Organization
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Legal Business Name | COLORADO ANESTHESIA CONSULTANTS, P.C.
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Dates
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Enumeration Date | 07/11/2005
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Last Update Date | 06/27/2012
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Provider Practice Location Address
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Address Line | 455 SHERMAN STREET SUITE 510
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City | DENVER
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State | CO
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Zip | 80203-4405
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Country | US
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Telephone | 303-377-6825
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Fax | 303-780-0787
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Provider Business Mailing Address
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Address Line | 455 SHERMAN ST STE 510
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City | DENVER
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State | CO
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Zip | 80203-4400
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Country | US
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Telephone | 303-377-6825
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Fax | 303-780-0787
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Authorized Official
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Title or Position | CFO
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Name | MR. BRAD BOOS
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Credential |
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Telephone | 303-377-6825
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207LC0200X
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Taxonomy Name | Critical Care Medicine (Anesthesiology) Physician
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 207LH0002X
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Taxonomy Name | Hospice and Palliative Medicine (Anesthesiology) Physician
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 207LP2900X
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Taxonomy Name | Pain Medicine (Anesthesiology) Physician
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 207LP3000X
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Taxonomy Name | Pediatric Anesthesiology Physician
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number |
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License Number State |
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