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General NPI Number Information
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NPI Number | 1124912217
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Entity Type | Organization
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Legal Business Name | MONTROSE SURGICAL SPECIALISTS
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Dates
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Enumeration Date | 06/04/2025
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Last Update Date | 01/12/2026
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Provider Practice Location Address
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Address Line | 100 TESSITORE CT UNIT B
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City | MONTROSE
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State | CO
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Zip | 81401-5689
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Country | US
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Telephone | 970-208-4862
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Fax |
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Provider Business Mailing Address
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Address Line | 100 TESSITORE CT UNIT B
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City | MONTROSE
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State | CO
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Zip | 81401-5689
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Country | US
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Telephone | 970-208-4862
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Fax |
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Authorized Official
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Title or Position | PRACTICE ADMINISTRATOR
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Name | CHELSEA SANCHEZ
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Credential |
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Telephone | 970-615-2879
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208600000X
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Taxonomy Name | Surgery Physician
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License Number |
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License Number State |
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