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General NPI Number Information
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NPI Number | 1588631055
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Entity Type | Organization
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Legal Business Name | SKIN CANCER AND DERMATOLOGY CENTER OF COLORADO SPRINGS, P.C.
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Dates
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Enumeration Date | 03/03/2006
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Last Update Date | 12/23/2020
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Provider Practice Location Address
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Address Line | 1975 RESEARCH PKWY STE 165
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City | COLORADO SPGS
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State | CO
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Zip | 80920-1026
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Country | US
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Telephone | 719-574-0518
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Fax | 719-574-6574
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Provider Business Mailing Address
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Address Line | 1975 RESEARCH PKWY STE 165
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City | COLORADO SPGS
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State | CO
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Zip | 80920-1026
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Country | US
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Telephone | 719-574-0518
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Fax | 719-574-6574
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Authorized Official
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Title or Position | OWNER/PROVIDER
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Name | CHRISTOPHER R SARTORI
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Credential | MD
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Telephone | 719-574-0310
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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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 | 207N00000X
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Taxonomy Name | Dermatology Physician
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License Number |
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License Number State |
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