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General NPI Number Information
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NPI Number | 1992749741
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Entity Type | Organization
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Legal Business Name | CATHOLIC HEALTH INITIATIVES COLORADO
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Dates
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Enumeration Date | 06/15/2006
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Last Update Date | 11/13/2015
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Provider Practice Location Address
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Address Line | 2222 N NEVADA AVE
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City | COLORADO SPRINGS
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State | CO
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Zip | 80907-6819
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Country | US
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Telephone | 719-776-5487
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Fax | 719-776-2493
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Provider Business Mailing Address
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Address Line | 2222 N NEVADA AVE
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City | COLORADO SPRINGS
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State | CO
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Zip | 80907-6819
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Country | US
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Telephone | 719-776-5487
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Fax | 719-776-2493
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Authorized Official
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Title or Position | DIRECTOR
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Name | MICHAEL FORCE
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Credential | RPH
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Telephone | 719-776-5156
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 333600000X
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Taxonomy Name | Pharmacy
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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 | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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License Number | PDO240000047
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License Number State | CO
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