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General NPI Number Information
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NPI Number | 1821869702
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Entity Type | Organization
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Legal Business Name | CENTRAL COLORADO ANESTHESIA ASSOCIATES, LLC
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Dates
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Enumeration Date | 01/10/2024
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Last Update Date | 01/10/2024
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Provider Practice Location Address
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Address Line | 355 UNION BLVD STE 10
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City | LAKEWOOD
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State | CO
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Zip | 80228-1500
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Country | US
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Telephone | 303-996-1188
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 947630
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City | ATLANTA
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State | GA
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Zip | 30394-7630
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Country | US
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Telephone | 800-242-5080
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Fax | 727-900-7770
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Authorized Official
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Title or Position | VP OF REVENUE CYCLE MANAGEMENT
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Name | JEFF PERRY
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Credential |
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Telephone | 502-418-4700
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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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Taxonomy #2
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Taxonomy Code | 367500000X
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Taxonomy Name | Certified Registered Nurse Anesthetist
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License Number |
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License Number State |
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