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General NPI Number Information
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NPI Number | 1568907905
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Entity Type | Organization
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Legal Business Name | CENTURA HEALTH
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Dates
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Enumeration Date | 12/20/2016
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Last Update Date | 12/20/2016
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Provider Practice Location Address
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Address Line | 2465 S DOWNING ST SUITES 204-205
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City | DENVER
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State | CO
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Zip | 80210-5822
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Country | US
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Telephone | 303-260-2727
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Fax | 303-260-2722
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Provider Business Mailing Address
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Address Line | 2465 S DOWNING ST SUITES 204-205
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City | DENVER
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State | CO
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Zip | 80210-5822
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Country | US
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Telephone | 303-260-2727
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Fax | 303-260-2722
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Authorized Official
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Title or Position | CENTURA CLINICAL RESOURCES MANAGER
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Name | MRS. TERRI ONDREJKA
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Credential | MDN, RN
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Telephone | 303-260-2710
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 282N00000X
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Taxonomy Name | General Acute Care Hospital
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License Number | F1016983
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License Number State | CO
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