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General NPI Number Information
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NPI Number | 1861120743
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Entity Type | Organization
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Legal Business Name | RISE CARE PLLC
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Dates
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Enumeration Date | 08/09/2022
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Last Update Date | 08/09/2022
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Provider Practice Location Address
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Address Line | 951 N WINCHESTER AVE UNIT 3
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City | CHICAGO
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State | IL
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Zip | 60622-4964
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Country | US
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Telephone | 615-977-5525
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Fax |
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Provider Business Mailing Address
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Address Line | 3513 BRIGHTON BLVD STE 530
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City | DENVER
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State | CO
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Zip | 80216-3790
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | MEDICAL DIRECTOR
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Name | DALE SWIMS
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Credential | DO
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Telephone | 615-977-5525
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP2300X
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Taxonomy Name | Primary Care Clinic/Center
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License Number |
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License Number State |
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