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General NPI Number Information
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NPI Number | 1679637904
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Entity Type | Organization
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Legal Business Name | UCH-MHS
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Dates
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Enumeration Date | 12/21/2006
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Last Update Date | 12/04/2023
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Provider Practice Location Address
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Address Line | 1400 E BOULDER ST RM 1160
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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 | 719-365-2525
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Fax |
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Provider Business Mailing Address
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Address Line | 1400 E BOULDER ST RM 1160
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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 |
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Fax |
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Authorized Official
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Title or Position | CFO
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Name | GREGORY ALAN HARDEN
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Credential |
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Telephone | 719-365-5000
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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License Number | PDO-990000066
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License Number State | CO
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