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General NPI Number Information
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NPI Number | 1306667514
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Entity Type | Organization
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Legal Business Name | LONGMONT ORTHOPEDICS PC
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Dates
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Enumeration Date | 10/21/2024
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Last Update Date | 10/21/2024
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Provider Practice Location Address
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Address Line | 600 S AIRPORT RD. BLDG C SUITE D
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City | LONGMONT
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State | CO
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Zip | 80503
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Country | US
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Telephone | 720-239-2142
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Fax |
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Provider Business Mailing Address
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Address Line | 5155 EAGAN CIR
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City | LONGMONT
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State | CO
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Zip | 80503-8558
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Country | US
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Telephone | 720-239-2142
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Fax |
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Authorized Official
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Title or Position | PHYSICIAN
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Name | SUNIL S JANI
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Credential |
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Telephone | 201-757-3621
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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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