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General NPI Number Information
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NPI Number | 1780683797
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Entity Type | Organization
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Legal Business Name | LOVELAND ENDOSCOPY CENTER, LLC
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Dates
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Enumeration Date | 07/20/2005
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 2555 E 13TH ST SUITE #210
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City | LOVELAND
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State | CO
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Zip | 80537-5113
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Country | US
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Telephone | 970-663-2159
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Fax | 970-461-6260
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Provider Business Mailing Address
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Address Line | PO BOX 1524
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City | LOVELAND
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State | CO
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Zip | 80539-1524
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Country | US
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Telephone | 970-663-2159
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Fax | 970-461-6260
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Authorized Official
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Title or Position | MEDICAL DIRECTOR
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Name | DR. LEWIS STRONG
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Credential | M.D.
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Telephone | 970-669-5432
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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 | 0591
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License Number State | CO
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