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General NPI Number Information
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NPI Number | 1841008042
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Entity Type | Organization
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Legal Business Name | CS CARDIOLOGY NEWCO LLC
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Dates
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Enumeration Date | 12/20/2024
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Last Update Date | 12/20/2024
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Provider Practice Location Address
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Address Line | 10600 WHITE DIAMOND POINT SUITE 200
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City | COLORADO SPRINGS
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State | CO
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Zip | 80908
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Country | US
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Telephone | 719-960-0363
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Fax |
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Provider Business Mailing Address
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Address Line | 1625 MEDICAL CENTER PT STE 200
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City | COLORADO SPRINGS
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State | CO
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Zip | 80907-5748
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Country | US
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Telephone | 719-960-0363
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Fax |
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Authorized Official
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Title or Position | VP OF RCM
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Name | ERIN PETRIE
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Credential |
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Telephone | 719-960-0363
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2086S0129X
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Taxonomy Name | Vascular Surgery 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 | 261QR0200X
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Taxonomy Name | Radiology Clinic/Center
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 207RC0001X
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Taxonomy Name | Clinical Cardiac Electrophysiology Physician
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 207RI0011X
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Taxonomy Name | Interventional Cardiology Physician
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 207UN0901X
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Taxonomy Name | Nuclear Cardiology Physician
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License Number |
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License Number State |
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Taxonomy #6
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Taxonomy Code | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number |
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License Number State |
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Taxonomy #7
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Taxonomy Code | 207RC0000X
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Taxonomy Name | Cardiovascular Disease Physician
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License Number |
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License Number State |
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