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General NPI Number Information
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NPI Number | 1801892625
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Entity Type | Organization
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Legal Business Name | PIKES PEAK HOSPICE AND PALLIATIVE CARE INC
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Dates
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Enumeration Date | 06/27/2005
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Last Update Date | 11/11/2021
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Provider Practice Location Address
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Address Line | 2550 TENDERFOOT HILL ST
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City | COLORADO SPRINGS
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State | CO
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Zip | 80906-3998
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Country | US
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Telephone | 719-633-3400
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Fax | 719-633-3800
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Provider Business Mailing Address
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Address Line | 2550 TENDERFOOT HILL ST
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City | COLORADO SPRINGS
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State | CO
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Zip | 80906-3998
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Country | US
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Telephone | 719-633-3400
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Fax | 719-633-3800
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Authorized Official
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Title or Position | PRESIDENT
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Name | DAWN DARVALICS
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Credential |
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Telephone | 719-633-3400
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 315D00000X
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Taxonomy Name | Inpatient Hospice
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License Number | 0475
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License Number State | CO
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Taxonomy #2
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Taxonomy Code | 251G00000X
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Taxonomy Name | Community Based Hospice Care Agency
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License Number |
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License Number State |
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