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General NPI Number Information
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NPI Number | 1700771508
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Entity Type | Organization
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Legal Business Name | PIKES PEAK HOSPICE AND PALLIATIVE CARE INC
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Dates
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Enumeration Date | 06/11/2025
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Last Update Date | 06/11/2025
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Provider Practice Location Address
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Address Line | 2550 TENDERFOOT HILL ST
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City | COLORADO SPRINGS
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State | CO
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Zip | 80906-3998
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Country | US
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Telephone | 719-633-3400
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Fax |
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Provider Business Mailing Address
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Address Line | 8289 E LOWRY BLVD
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City | DENVER
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State | CO
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Zip | 80230-7256
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Country | US
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Telephone | 303-398-6222
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Fax | 720-673-4851
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Authorized Official
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Title or Position | CEO
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Name | TIM J BOWEN
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Credential |
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Telephone | 303-398-6203
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208100000X
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Taxonomy Name | Physical Medicine & Rehabilitation 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 | 2086S0102X
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Taxonomy Name | Surgical Critical Care Physician
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 207QH0002X
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Taxonomy Name | Hospice and Palliative Medicine (Family Medicine) Physician
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License Number |
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License Number State |
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