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General NPI Number Information
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NPI Number | 1124025424
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Entity Type | Organization
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Legal Business Name | ORTHOPAEDICS OF STEAMBOAT SPRINGS
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Dates
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Enumeration Date | 06/30/2005
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Last Update Date | 07/21/2022
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Provider Practice Location Address
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Address Line | 705 MARKETPLACE PLZ
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City | STEAMBOAT SPRINGS
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State | CO
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Zip | 80487-1838
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Country | US
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Telephone | 970-879-6663
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Fax |
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Provider Business Mailing Address
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Address Line | 705 MARKETPLACE PLZ STE 200
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City | STEAMBOAT SPRINGS
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State | CO
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Zip | 80487-1841
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Country | US
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Telephone | 970-879-6663
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Fax | 970-871-1234
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Authorized Official
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Title or Position | PRACTICE ADMINISTRATOR
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Name | LISA HOGUE
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Credential |
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Telephone | 970-879-6663
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number |
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License Number State | CO
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