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General NPI Number Information
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NPI Number | 1235358342
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Entity Type | Organization
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Legal Business Name | NORTHERN COLORADO ORTHOPEDIC ASSOCIATES
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Dates
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Enumeration Date | 04/25/2007
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Last Update Date | 10/23/2012
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Provider Practice Location Address
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Address Line | 2121 E. HARMONY RD. STE 290
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City | FORT COLLINS
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State | CO
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Zip | 80528
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Country | US
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Telephone | 970-224-9890
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Fax | 970-224-9800
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Provider Business Mailing Address
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Address Line | 2121 E. HARMONY RD. STE 290
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City | FORT COLLINS
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State | CO
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Zip | 80528
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Country | US
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Telephone | 970-224-9890
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Fax | 970-224-9800
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Authorized Official
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Title or Position | OWNER
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Name | SALLY A KNAUER
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Credential | MD
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Telephone | 970-224-9890
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM2500X
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Taxonomy Name | Medical Specialty Clinic/Center
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License Number |
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License Number State |
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