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General NPI Number Information
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NPI Number | 1124002449
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Entity Type | Individual
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Provider Name | BRETT CARL ANDERSON MD
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Gender | Male
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Dates
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Enumeration Date | 11/30/2005
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Last Update Date | 02/03/2025
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Provider Practice Location Address
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Address Line | 3141 CENTENNIAL BLVD
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City | COLORADO SPRINGS
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State | CO
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Zip | 80907-4094
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Country | US
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Telephone | 719-227-4056
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Fax |
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Provider Business Mailing Address
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Address Line | 3141 CENTENNIAL BLVD
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City | COLORADO SPRINGS
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State | CO
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Zip | 80907-4094
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Country | US
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Telephone | 719-227-4056
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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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 | 34088
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License Number State | AZ
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Taxonomy #2
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Taxonomy Code | 207X00000X
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Taxonomy Name | Orthopaedic Surgery Physician
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License Number | MD13114
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License Number State | RI
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Taxonomy #3
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Taxonomy Code | 207X00000X
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Taxonomy Name | Orthopaedic Surgery Physician
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License Number | L5223
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License Number State | TX
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