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General NPI Number Information
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NPI Number | 1922415868
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Entity Type | Organization
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Legal Business Name | COLORADO SURGERY CENTERS
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Dates
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Enumeration Date | 07/11/2014
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Last Update Date | 07/11/2014
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Provider Practice Location Address
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Address Line | 10520 EL DIENTE CT
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City | ENGLEWOOD
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State | CO
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Zip | 80112-2656
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Country | US
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Telephone | 720-248-0797
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 101059
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City | DENVER
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State | CO
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Zip | 80250-1059
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Country | US
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Telephone | 720-248-0797
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. RICHARD B ANDERSON
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Credential | OD
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Telephone | 720-341-3399
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QA1903X
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Taxonomy Name | Ambulatory Surgical Clinic/Center
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License Number |
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License Number State |
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