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General NPI Number Information
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NPI Number | 1982676383
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Entity Type | Organization
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Legal Business Name | EVANS ARMY COMMUNITY HOSPITAL
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Dates
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Enumeration Date | 02/02/2006
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Last Update Date | 07/21/2022
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Provider Practice Location Address
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Address Line | 1650 COCHRANE CIR
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City | FORT CARSON
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State | CO
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Zip | 80913-4613
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Country | US
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Telephone | 719-576-1084
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Fax |
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Provider Business Mailing Address
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Address Line | 1650 COCHRANE CIR
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City | FORT CARSON
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State | CO
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Zip | 80913-4613
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Country | US
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Telephone | 719-576-1084
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Fax |
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Authorized Official
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Title or Position | STAFF PSYCHIATRIST
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Name | DR. JEREMY CRAIG FRANCIS
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Credential | M.D.
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Telephone | 719-576-1084
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 286500000X
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Taxonomy Name | Military Hospital
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License Number | 5
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License Number State | VA
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