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NPI 1013849199

NPI 1013849199 : NEUROLOGY OF THE ROCKIES, LLC : JOHNSTOWN, CO

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General NPI Number Information
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    NPI Number           |    1013849199
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    Entity Type          |    Organization 
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    Legal Business Name  |    NEUROLOGY OF THE ROCKIES, LLC 
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Dates
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    Enumeration Date     |    06/02/2026
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    Last Update Date     |    06/02/2026
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Provider Practice Location Address
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    Address Line         |    4450 UNION ST STE 201 
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    City                 |    JOHNSTOWN
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    State                |    CO
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    Zip                  |    80534-2864
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    Country              |    US
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    Telephone            |    970-400-0318
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    PO BOX 630920 
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    City                 |    LITTLETON
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    State                |    CO
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    Zip                  |    80163-0920
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    Country              |    US
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    Telephone            |    303-840-5051
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    Fax                  |    303-840-5058
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Authorized Official
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    Title or Position    |    PRESIDENT
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    Name                 |     RAVI C SHAH 
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    Credential           |    
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    Telephone            |    303-840-5051
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    2084N0400X
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    Taxonomy Name        |    Neurology Physician
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    License Number       |    
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    License Number State |    
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