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General NPI Number Information
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NPI Number | 1487462586
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Entity Type | Organization
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Legal Business Name | COLORADO SPRINGS CARDIOLOGY HEART & VASCULAR CENTER LLC
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Dates
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Enumeration Date | 12/20/2024
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Last Update Date | 02/19/2025
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Provider Practice Location Address
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Address Line | 10600 WHITE DIAMOND POINT SUITE 100
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City | COLORADO SPRINGS
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State | CO
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Zip | 80908
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Country | US
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Telephone | 719-960-0363
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 88143
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City | CHICAGO
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State | IL
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Zip | 60680-1143
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | VP OF RCM
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Name | ERIN PETRIE
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Credential |
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Telephone | 708-289-4757
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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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