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General NPI Number Information
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NPI Number | 1750059648
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Entity Type | Organization
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Legal Business Name | DENVER CHILDREN'S SURGERY CENTER LLC
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Dates
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Enumeration Date | 09/03/2021
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Last Update Date | 03/21/2023
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Provider Practice Location Address
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Address Line | 10170 CHURCH RANCH WAY UNIT 110
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City | WESTMINSTER
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State | CO
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Zip | 80021-6059
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Country | US
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Telephone | 720-330-5571
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Fax |
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Provider Business Mailing Address
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Address Line | 182 INDUSTRIAL RD
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City | GLEN ROCK
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State | PA
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Zip | 17327-8626
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Country | US
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Telephone | 717-759-4375
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Fax | 717-759-4336
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Authorized Official
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Title or Position | CEO
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Name | DEVIN LARSEN
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Credential |
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Telephone | 208-340-1840
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QA1903X
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Taxonomy Name | Ambulatory Surgical Clinic/Center
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License Number |
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License Number State |
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