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General NPI Number Information
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NPI Number | 1275349086
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Entity Type | Organization
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Legal Business Name | ORTHOPAEDICS OF STEAMBOAT SPRINGS PC
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Dates
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Enumeration Date | 12/06/2024
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Last Update Date | 12/06/2024
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Provider Practice Location Address
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Address Line | 705 MARKETPLACE PLZ STE 200
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City | STEAMBOAT SPRINGS
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State | CO
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Zip | 80487-1841
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Country | US
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Telephone | 314-808-3227
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Fax |
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Provider Business Mailing Address
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Address Line | 705 MARKETPLACE PLZ STE 200
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City | STEAMBOAT SPRINGS
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State | CO
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Zip | 80487-1841
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | CREDENTIALING
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Name | ELLEN HUMPHRIES
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Credential |
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Telephone | 314-808-3227
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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 | 207XS0106X
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Taxonomy Name | Orthopaedic Hand Surgery Physician
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 207XS0117X
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Taxonomy Name | Orthopaedic Surgery of the Spine Physician
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License Number |
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License Number State |
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Taxonomy #4
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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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Taxonomy #5
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Taxonomy Code | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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License Number |
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License Number State |
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