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General NPI Number Information
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NPI Number | 1245239268
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Entity Type | Organization
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Legal Business Name | MUSCULOSKELETAL SURGERY CENTER OF COLORADO
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Dates
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Enumeration Date | 07/20/2005
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 9005 GRANT ST SUITE #300
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City | THORNTON
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State | CO
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Zip | 80229-4300
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Country | US
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Telephone | 303-288-4694
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Fax | 303-288-4697
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Provider Business Mailing Address
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Address Line | DEPT 1063
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City | DENVER
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State | CO
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Zip | 80256-0001
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Country | US
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Telephone | 303-288-4694
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Fax | 303-288-4697
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Authorized Official
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Title or Position | MEDICAL DIRECTOR
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Name | HUGH MCPHERSON
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Credential | M.D.
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Telephone | 303-287-2800
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QA1903X
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Taxonomy Name | Ambulatory Surgical Clinic/Center
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License Number | 0572
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License Number State | CO
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