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General NPI Number Information
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NPI Number | 1548765696
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Entity Type | Organization
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Legal Business Name | INTERIM HEALTHCARE OF SOUTHEASTERN COLORADO, INC
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Dates
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Enumeration Date | 03/29/2018
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Last Update Date | 07/21/2022
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Provider Practice Location Address
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Address Line | 1901 N UNION BLVD STE 105
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City | COLORADO SPRINGS
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State | CO
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Zip | 80909-7200
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Country | US
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Telephone | 719-314-4868
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Fax |
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Provider Business Mailing Address
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Address Line | 1901 N UNION BLVD STE 105
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City | COLORADO SPRINGS
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State | CO
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Zip | 80909-7200
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Country | US
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Telephone | 719-314-4868
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | DEVIN RINGLING
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Credential |
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Telephone | 719-632-9900
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207QH0002X
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Taxonomy Name | Hospice and Palliative Medicine (Family Medicine) Physician
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License Number | 36458
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License Number State | CO
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