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General NPI Number Information
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NPI Number | 1053794461
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Entity Type | Organization
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Legal Business Name | ORTHO ONE COLORADO, LLC
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Dates
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Enumeration Date | 07/02/2015
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Last Update Date | 01/13/2016
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Provider Practice Location Address
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Address Line | 3501 S CLARKSON ST
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City | ENGLEWOOD
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State | CO
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Zip | 80113-3916
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Country | US
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Telephone | 303-594-7102
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Fax | 303-781-0004
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Provider Business Mailing Address
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Address Line | 3501 S CLARKSON ST
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City | ENGLEWOOD
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State | CO
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Zip | 80113-3916
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Country | US
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Telephone | 303-594-7102
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Fax | 303-781-0004
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Authorized Official
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Title or Position | CIO
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Name | RAMSEY L ANTOUN
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Credential |
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Telephone | 720-390-3376
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207X00000X
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Taxonomy Name | Orthopaedic Surgery Physician
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License Number |
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License Number State |
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