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General NPI Number Information
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NPI Number | 1689688988
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Entity Type | Organization
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Legal Business Name | PORTERCARE ADVENTIST HEALTH SYSTEM
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Dates
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Enumeration Date | 07/29/2006
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Last Update Date | 06/18/2025
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Provider Practice Location Address
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Address Line | 7700 S BROADWAY
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City | LITTLETON
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State | CO
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Zip | 80122-2602
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Country | US
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Telephone | 303-730-8900
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 713425
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City | CHICAGO
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State | IL
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Zip | 60677-4325
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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 | JONATHAN PERRY JR.
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Credential |
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Telephone | 303-738-2628
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QE0002X
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Taxonomy Name | Emergency Care Clinic/Center
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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 | 282N00000X
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Taxonomy Name | General Acute Care Hospital
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License Number | 1034
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License Number State | CO
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