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General NPI Number Information
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NPI Number | 1780911826
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Entity Type | Organization
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Legal Business Name | ANESTHESIA ASSOCIATES OF THE FRONT RANGE LLC
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Dates
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Enumeration Date | 11/10/2009
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Last Update Date | 01/28/2013
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Provider Practice Location Address
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Address Line | 1001 SOUTHPARK DR
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City | LITTLETON
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State | CO
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Zip | 80120
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Country | US
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Telephone | 303-722-8987
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Fax | 303-722-2935
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Provider Business Mailing Address
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Address Line | 3333 S. WADSWORTH BLVD #100-D
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City | LAKEWOOD
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State | CO
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Zip | 80227
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Country | US
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Telephone | 303-205-1090
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Fax | 303-205-5534
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Authorized Official
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Title or Position | CEO
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Name | LANCE GOUDZWAARD
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Credential |
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Telephone | 303-205-1090
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number |
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License Number State |
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