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General NPI Number Information
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NPI Number | 1770248189
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Entity Type | Organization
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Legal Business Name | FUTURE INNOVATIVE TREATMENTS, LLC
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Dates
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Enumeration Date | 11/02/2021
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Last Update Date | 12/13/2021
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Provider Practice Location Address
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Address Line | 1715 N WEBER ST STE 90
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City | COLORADO SPRINGS
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State | CO
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Zip | 80907-7524
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Country | US
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Telephone | 719-306-4713
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Fax | 719-960-2939
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Provider Business Mailing Address
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Address Line | 3570 HILL CIR
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City | COLORADO SPRINGS
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State | CO
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Zip | 80904-1064
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Country | US
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Telephone | 719-310-6731
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Fax | 719-960-2939
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Authorized Official
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Title or Position | OWNER
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Name | MRS. SMITA PATEL
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Credential |
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Telephone | 719-310-6731
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine 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 | 261QI0500X
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Taxonomy Name | Infusion Therapy Clinic/Center
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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 | 363AM0700X
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Taxonomy Name | Medical Physician Assistant
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License Number |
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License Number State |
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