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General NPI Number Information
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NPI Number | 1770700544
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Entity Type | Organization
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Legal Business Name | REPRODUCTIVE MEDICINE & FERTILITY CENTER
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Dates
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Enumeration Date | 04/20/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 3225 INTERNATIONAL CIR SUITE 100
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City | COLORADO SPRINGS
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State | CO
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Zip | 80910-3161
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Country | US
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Telephone | 719-475-2229
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Fax | 719-475-2227
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Provider Business Mailing Address
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Address Line | 3225 INTERNATIONAL CIR SUITE 100
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City | COLORADO SPRINGS
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State | CO
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Zip | 80910-3161
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Country | US
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Telephone | 719-475-2229
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Fax | 719-475-2227
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Authorized Official
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Title or Position | EXECUTIVE DIRECTER
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Name | MEL COHEN
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Credential |
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Telephone | 719-475-2229
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number | 44858
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License Number State | CO
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Taxonomy #2
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number | 36345
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License Number State | CO
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