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NPI 1881661809

NPI 1881661809 : STEVEN J HARLINE M.D. : COLORADO SPRINGS, CO

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General NPI Number Information
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    NPI Number           |    1881661809
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    Entity Type          |    Individual 
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    Provider Name        |    STEVEN J HARLINE M.D.
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    03/08/2006
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    Last Update Date     |    03/16/2011
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Provider Practice Location Address
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    Address Line         |    6001 E WOODMEN RD 
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    City                 |    COLORADO SPRINGS
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    State                |    CO
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    Zip                  |    80923-2601
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    Country              |    US
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    Telephone            |    719-776-3000
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    Fax                  |    719-448-0767
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Provider Business Mailing Address
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    Address Line         |    PO BOX 820 
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    City                 |    COLORADO SPRINGS
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    State                |    CO
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    Zip                  |    80901-0820
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    Country              |    US
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    Telephone            |    719-448-0981
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    Fax                  |    719-448-0767
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Authorized Official
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    Title or Position    |    
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    Name                 |        
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    Credential           |    
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    Telephone            |    
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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       |    34497
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    License Number State |    CO
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