# COREVISION NETWORK, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1467846477
- **Authorized official:** MR. NATHANIEL HARDAGE JR. (OWNER)
- **Authorized official phone:** (404) 809-7764

## Contact information

- **Practice address:** 14201 E 4TH AVE, BUILDING 4, SUITE 110, AURORA, CO 80011-8748
- **Practice address phone:** (404) 809-7764
- **Mailing address:** 411 S CASCADE AVE, SUITE 100, COLORADO SPRINGS, CO 80903-3809

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261Q00000X | Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 03/27/2015
- **Last updated:** 06/14/2016
