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General NPI Number Information
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NPI Number | 1831531532
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Entity Type | Organization
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Legal Business Name | DILIGENCE ANESTHESIA SERVICES
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Dates
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Enumeration Date | 07/23/2013
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Last Update Date | 01/27/2021
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Provider Practice Location Address
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Address Line | 2860 S CIRCLE DR
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City | COLORADO SPRINGS
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State | CO
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Zip | 80906-4113
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Country | US
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Telephone | 760-780-8702
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Fax |
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Provider Business Mailing Address
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Address Line | 2860 S CIRCLE DR
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City | COLORADO SPRINGS
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State | CO
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Zip | 80906-4113
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Country | US
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Telephone | 760-780-8702
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Fax |
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Authorized Official
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Title or Position | CO-OWNER
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Name | JANA GAINOK
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Credential | FNP-C
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Telephone | 760-780-8702
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM1300X
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Taxonomy Name | Multi-Specialty Clinic/Center
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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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