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General NPI Number Information
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NPI Number | 1114189057
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Entity Type | Organization
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Legal Business Name | ARETE NEUROSURGICAL PC
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Dates
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Enumeration Date | 07/01/2008
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Last Update Date | 08/24/2022
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Provider Practice Location Address
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Address Line | 1601 E 19TH AVE STE 4600
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City | DENVER
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State | CO
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Zip | 80218-1289
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Country | US
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Telephone | 303-832-2449
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Fax | 303-832-3832
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Provider Business Mailing Address
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Address Line | 9450 VISTA HILL LN
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City | LONE TREE
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State | CO
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Zip | 80124-8471
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Country | US
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Telephone | 303-374-4224
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Fax |
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Authorized Official
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Title or Position | CEO/MD
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Name | DR. RENATTA OSTERDOCK
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Credential | MD
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Telephone | 303-832-2449
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207T00000X
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Taxonomy Name | Neurological Surgery Physician
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License Number | 46246
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License Number State | CO
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