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General NPI Number Information
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NPI Number | 1518978667
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Entity Type | Organization
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Legal Business Name | CATHOLIC HEALTH INITIATIVES COLORADO
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Dates
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Enumeration Date | 08/11/2006
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Last Update Date | 05/23/2013
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Provider Practice Location Address
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Address Line | 1008 MINNEQUA AVE
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City | PUEBLO
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State | CO
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Zip | 81004-3733
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Country | US
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Telephone | 719-560-4000
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 910545
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City | DENVER
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State | CO
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Zip | 80291-0545
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Country | US
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Telephone | 719-776-4188
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | ROB RYDER
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Credential |
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Telephone | 719-285-2039
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 273Y00000X
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Taxonomy Name | Rehabilitation Hospital Unit
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License Number | 328
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License Number State | CO
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