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General NPI Number Information
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NPI Number | 1083528814
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Entity Type | Organization
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Legal Business Name | NORTHERN COLORADO SPORTS MEDICINE
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Dates
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Enumeration Date | 09/29/2026
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Last Update Date | 09/29/2026
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Provider Practice Location Address
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Address Line | 3726 S TIMBERLINE RD STE 102
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City | FORT COLLINS
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State | CO
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Zip | 80525-4332
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Country | US
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Telephone | 443-370-9655
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Fax |
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Provider Business Mailing Address
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Address Line | 3726 S TIMBERLINE RD STE 102
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City | FORT COLLINS
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State | CO
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Zip | 80525-4332
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Country | US
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Telephone | 443-370-9655
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Fax |
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Authorized Official
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Title or Position | PHYSICIAN
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Name | ZACHARY DEVILBISS
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Credential | DO
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Telephone | 443-370-9655
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207QS0010X
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Taxonomy Name | Sports Medicine (Family Medicine) Physician
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License Number |
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License Number State | NULL
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