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NPI 1043162027

NPI 1043162027 : SKI TOWN IV LLC : ASPEN, CO

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General NPI Number Information
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    NPI Number           |    1043162027
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    Entity Type          |    Organization 
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    Legal Business Name  |    SKI TOWN IV LLC 
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Dates
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    Enumeration Date     |    02/11/2026
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    Last Update Date     |    02/11/2026
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Provider Practice Location Address
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    Address Line         |    533 E HOPKINS AVE STE D 
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    City                 |    ASPEN
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    State                |    CO
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    Zip                  |    81611-2937
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    Country              |    US
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    Telephone            |    970-742-7889
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    Fax                  |    970-742-7890
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Provider Business Mailing Address
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    Address Line         |    PO BOX 15088 
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    City                 |    PHOENIX
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    State                |    AZ
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    Zip                  |    85060-5088
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    Country              |    US
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    Telephone            |    970-742-7889
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    Fax                  |    970-742-7890
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Authorized Official
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    Title or Position    |    OWNER AND PHYSICIAN
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    Name                 |     AJAY  BHATNAGAR 
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    Credential           |    MD
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    Telephone            |    970-742-7889
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    261QI0500X
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    Taxonomy Name        |    Infusion Therapy Clinic/Center
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    License Number       |    
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    License Number State |    
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