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General NPI Number Information
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NPI Number | 1942195227
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Entity Type | Organization
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Legal Business Name | SPRINGBOK HEALTH INC.
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Dates
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Enumeration Date | 06/09/2025
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Last Update Date | 06/09/2025
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Provider Practice Location Address
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Address Line | 450 W JEFFERSON AVE
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City | ENGLEWOOD
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State | CO
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Zip | 80110-3536
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Country | US
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Telephone | 719-766-8511
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Fax |
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Provider Business Mailing Address
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Address Line | 1318 W COLORADO AVE
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City | COLORADO SPRINGS
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State | CO
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Zip | 80904-4023
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Country | US
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Telephone | 719-766-8511
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Fax |
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Authorized Official
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Title or Position | COO
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Name | PATRICIA CUPIT
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Credential | DM
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Telephone | 970-817-1742
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 171M00000X
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Taxonomy Name | Case Manager/Care Coordinator
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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 | 251B00000X
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Taxonomy Name | Case Management Agency
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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 | 261Q00000X
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Taxonomy Name | Clinic/Center
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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 | 363LC1500X
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Taxonomy Name | Community Health Nurse Practitioner
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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 | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number |
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License Number State |
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