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General NPI Number Information
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NPI Number | 1023632916
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Entity Type | Organization
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Legal Business Name | OBSTETRIX MEDICAL GROUP OF COLORADO, P.C.
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Dates
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Enumeration Date | 06/05/2020
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Last Update Date | 06/10/2024
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Provider Practice Location Address
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Address Line | 1906 BLAKE AVE
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City | GLENWOOD SPRINGS
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State | CO
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Zip | 81601-4227
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Country | US
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Telephone | 970-945-6535
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Fax |
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Provider Business Mailing Address
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Address Line | 4722 N 24TH ST STE 150
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City | PHOENIX
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State | AZ
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Zip | 85016-4860
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Country | US
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Telephone | 877-737-4546
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Fax |
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Authorized Official
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Title or Position | ASSISTANT SECRETARY
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Name | LINDA CHEN
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Credential |
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Telephone | 800-243-3839
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208000000X
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Taxonomy Name | Pediatrics Physician
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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 | 2080P0008X
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Taxonomy Name | Pediatric Neurodevelopmental Disabilities Physician
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 2080P0205X
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Taxonomy Name | Pediatric Endocrinology Physician
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 2080P0208X
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Taxonomy Name | Pediatric Infectious Diseases Physician
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 2084N0402X
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Taxonomy Name | Neurology with Special Qualifications in Child Neurology Physician
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License Number |
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License Number State |
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Taxonomy #6
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Taxonomy Code | 2084P0804X
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Taxonomy Name | Child & Adolescent Psychiatry Physician
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License Number |
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License Number State |
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Taxonomy #7
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Taxonomy Code | 2080P0202X
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Taxonomy Name | Pediatric Cardiology Physician
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License Number |
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License Number State |
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