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General NPI Number Information
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NPI Number | 1528699261
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Entity Type | Organization
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Legal Business Name | PORTERCARE ADVENTIST HEALTH SYSTEM
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Dates
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Enumeration Date | 01/31/2020
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Last Update Date | 06/16/2025
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Provider Practice Location Address
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Address Line | 9205 S BROADWAY
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City | HIGHLANDS RANCH
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State | CO
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Zip | 80129-5631
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Country | US
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Telephone | 303-649-3650
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Fax | 303-649-3651
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Provider Business Mailing Address
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Address Line | 9205 S BROADWAY
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City | HIGHLANDS RANCH
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State | CO
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Zip | 80129-5631
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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 | CFO
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Name | MR. JONATHAN PERRY
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Credential |
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Telephone | 303-738-2628
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QU0200X
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Taxonomy Name | Urgent Care Clinic/Center
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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 | 261QE0002X
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Taxonomy Name | Emergency Care Clinic/Center
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License Number |
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License Number State |
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