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General NPI Number Information
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NPI Number | 1750166153
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Entity Type | Organization
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Legal Business Name | PEAK GASTROENTEROLOGY ASSOCIATES
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Dates
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Enumeration Date | 08/25/2023
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Last Update Date | 08/25/2023
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Provider Practice Location Address
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Address Line | 9101 KIMMER DR STE 1100
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City | LONE TREE
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State | CO
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Zip | 80124-8454
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Country | US
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Telephone | 978-491-8681
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Fax |
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Provider Business Mailing Address
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Address Line | 2920 N CASCADE AVE STE 330
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City | COLORADO SPRINGS
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State | CO
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Zip | 80907-6262
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Country | US
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Telephone | 197-849-1868
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Fax |
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Authorized Official
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Title or Position | DIRECTOR, REVENUE CYCLE
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Name | KARIN SULLIVAN
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Credential |
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Telephone | 978-491-8681
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RG0100X
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Taxonomy Name | Gastroenterology Physician
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License Number |
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License Number State |
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