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General NPI Number Information
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NPI Number | 1154828853
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Entity Type | Organization
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Legal Business Name | LAPLATA UROLOGICAL ASSOCIATES PC
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Dates
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Enumeration Date | 04/09/2018
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Last Update Date | 12/18/2025
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Provider Practice Location Address
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Address Line | 1800 E 3RD AVE STE 103
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City | DURANGO
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State | CO
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Zip | 81301-5046
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Country | US
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Telephone | 970-264-2224
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Fax |
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Provider Business Mailing Address
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Address Line | 1800 E 3RD AVE STE 103
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City | DURANGO
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State | CO
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Zip | 81301-5046
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Country | US
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Telephone | 970-264-2224
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Fax |
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Authorized Official
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Title or Position | CREDENTIALING SPECIALIST
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Name | ASHLEY BEAVER
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Credential |
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Telephone | 406-927-2988
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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 | 46127
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License Number State | CO
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