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General NPI Number Information
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NPI Number | 1619927852
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Entity Type | Organization
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Legal Business Name | ANESTHESIA ASSOCIATES OF COLORADO SPRINGS, P.C.
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Dates
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Enumeration Date | 05/10/2006
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Last Update Date | 11/06/2014
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Provider Practice Location Address
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Address Line | 1400 E BOULDER ST
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City | COLORADO SPRINGS
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State | CO
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Zip | 80909-5533
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Country | US
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Telephone | 719-365-6999
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Fax | 719-365-6999
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Provider Business Mailing Address
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Address Line | 1400 E BOULDER ST
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City | COLORADO SPRINGS
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State | CO
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Zip | 80909-5533
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Country | US
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Telephone | 719-365-6999
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Fax | 719-365-2837
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Authorized Official
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Title or Position | MD/PRESIDENT
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Name | DR. MIKE DEIGNAN
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Credential | MD
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Telephone | 719-365-6999
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207LP2900X
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Taxonomy Name | Pain Medicine (Anesthesiology) Physician
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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 | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number |
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License Number State | CO
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