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General NPI Number Information
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NPI Number | 1538882162
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Entity Type | Organization
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Legal Business Name | MATTHEWS-VU MEDICAL GROUP, P.C.
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Dates
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Enumeration Date | 09/20/2022
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Last Update Date | 09/20/2022
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Provider Practice Location Address
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Address Line | 1715 N WEBER ST STE 220
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City | COLORADO SPRINGS
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State | CO
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Zip | 80907-7553
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Country | US
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Telephone | 719-632-4455
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Fax |
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Provider Business Mailing Address
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Address Line | 4190 E WOODMEN RD
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City | COLORADO SPRINGS
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State | CO
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Zip | 80920-8075
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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 | COO
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Name | KATE BOGUE
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Credential |
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Telephone | 703-776-0108
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number |
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License Number State |
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