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General NPI Number Information
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NPI Number | 1952630931
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Entity Type | Organization
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Legal Business Name | KISSING CAMELS SURGERY CENTER, LLC
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Dates
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Enumeration Date | 12/21/2009
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Last Update Date | 12/21/2009
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Provider Practice Location Address
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Address Line | 2955 PROFESSIONAL PL SUITE 100
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City | COLORADO SPRINGS
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State | CO
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Zip | 80904-8139
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Country | US
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Telephone | 719-338-0298
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Fax |
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Provider Business Mailing Address
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Address Line | 17745 RADBOURNE CT
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City | MONUMENT
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State | CO
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Zip | 80132-8456
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Country | US
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Telephone | 719-481-9555
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Fax | 719-481-9555
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Authorized Official
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Title or Position | CEO
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Name | DR. STEVEN M TOPPER
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Credential | M.D.
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Telephone | 719-260-4767
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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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