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NPI 1477615284

NPI 1477615284 : ROCKY MOUNTAIN ENDOSCOPY CENTERS, LLC : THORNTON, CO

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General NPI Number Information
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    NPI Number           |    1477615284
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    Entity Type          |    Organization 
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    Legal Business Name  |    ROCKY MOUNTAIN ENDOSCOPY CENTERS, LLC 
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Dates
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    Enumeration Date     |    12/15/2006
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    Last Update Date     |    10/11/2024
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Provider Practice Location Address
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    Address Line         |    10001 WASHINGTON ST 
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    City                 |    THORNTON
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    State                |    CO
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    Zip                  |    80229-2050
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    Country              |    US
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    Telephone            |    303-205-1090
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    Fax                  |    303-205-1120
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Provider Business Mailing Address
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    Address Line         |    10001 WASHINGTON ST 
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    City                 |    THORNTON
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    State                |    CO
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    Zip                  |    80229-2050
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    Country              |    US
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    Telephone            |    303-205-1090
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    Fax                  |    303-205-1120
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Authorized Official
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    Title or Position    |    OFFICER/AUTHORIZED OFFICIAL
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    Name                 |     CHRISTOPHER  HARTSHORN 
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    Credential           |    
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    Telephone            |    314-800-2017
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    261QE0800X
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    Taxonomy Name        |    Endoscopy Clinic/Center
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    License Number       |    1604F6
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    License Number State |    CO
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Taxonomy #2
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    Taxonomy Code        |    261QE0800X
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    Taxonomy Name        |    Endoscopy Clinic/Center
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    License Number       |    1604XC
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    License Number State |    CO
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Taxonomy #3
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    Taxonomy Code        |    261QE0800X
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    Taxonomy Name        |    Endoscopy Clinic/Center
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    License Number       |    16R178
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    License Number State |    CO
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Taxonomy #4
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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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