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General NPI Number Information
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NPI Number | 1063463248
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Entity Type | Organization
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Legal Business Name | ROCKY MOUNTAIN PEDIATRIC ANESTHESIOLOGY,PC
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Dates
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Enumeration Date | 05/13/2006
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Last Update Date | 10/28/2025
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Provider Practice Location Address
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Address Line | 57 WILD PLUM LN
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City | LITTLETON
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State | CO
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Zip | 80123-6617
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Country | US
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Telephone | 303-921-4370
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Fax |
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Provider Business Mailing Address
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Address Line | 57 WILD PLUM LN
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City | LITTLETON
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State | CO
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Zip | 80123-6617
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Country | US
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Telephone | 970-664-2497
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Fax |
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Authorized Official
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Title or Position | PROVIDER
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Name | BETH KATUBIG
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Credential |
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Telephone | 303-921-4370
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207L00000X
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Taxonomy Name | Anesthesiology 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 | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number | 35876
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License Number State | CO
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