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General NPI Number Information
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NPI Number | 1144818857
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Entity Type | Organization
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Legal Business Name | ORTHOPAEDIC & SPINE CENTER OF THE ROCKIES PC
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Dates
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Enumeration Date | 01/07/2021
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Last Update Date | 01/07/2021
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Provider Practice Location Address
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Address Line | 951 W. PLUM STREET MOBY ARENA 141
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City | FORT COLLINS
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State | CO
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Zip | 80525-0129
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Country | US
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Telephone | 970-493-0112
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Fax | 970-493-0521
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Provider Business Mailing Address
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Address Line | 2500 E PROSPECT RD
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City | FORT COLLINS
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State | CO
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Zip | 80525-9718
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Country | US
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Telephone | 970-493-0112
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Fax | 970-493-0521
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Authorized Official
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Title or Position | CEO
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Name | MICHAEL ALLEN BEGERSON
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Credential |
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Telephone | 970-419-7007
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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 |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 207XX0005X
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Taxonomy Name | Sports Medicine (Orthopaedic Surgery) Physician
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License Number |
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License Number State |
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