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General NPI Number Information
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NPI Number | 1225234131
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Entity Type | Organization
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Legal Business Name | VAIL-SUMMIT ORTHOPAEDICS PC
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Dates
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Enumeration Date | 06/26/2007
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Last Update Date | 04/11/2024
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Provider Practice Location Address
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Address Line | 360 PEAK ONE DR STE 180
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City | FRISCO
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State | CO
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Zip | 80443-5948
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Country | US
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Telephone | 970-668-3633
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Fax | 970-668-4406
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Provider Business Mailing Address
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Address Line | 2472 PATTERSON RD UNIT 8
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City | GRAND JUNCTION
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State | CO
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Zip | 81505-1100
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Country | US
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Telephone | 970-241-0202
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Fax | 970-245-0250
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Authorized Official
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Title or Position | COO
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Name | COLLEEN A KINLUND
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Credential |
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Telephone | 970-477-4456
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 335E00000X
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Taxonomy Name | Prosthetic/Orthotic Supplier
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License Number | 374
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License Number State | CO
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