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General NPI Number Information
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NPI Number | 1013608660
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Entity Type | Organization
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Legal Business Name | OB/GYN AFFILIATES
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Dates
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Enumeration Date | 05/16/2023
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Last Update Date | 05/16/2023
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Provider Practice Location Address
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Address Line | 1907 BOISE AVE STE 3
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City | LOVELAND
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State | CO
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Zip | 80538-4291
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Country | US
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Telephone | 970-591-9559
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Fax |
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Provider Business Mailing Address
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Address Line | 1745 SHEA CENTER DR
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City | HIGHLANDS RANCH
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State | CO
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Zip | 80129-1537
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | AUTHORIZED REPRESENTATIVE
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Name | ELIZABETH FOELSKE
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Credential |
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Telephone | 720-375-5845
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number |
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License Number State |
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