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General NPI Number Information
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NPI Number | 1326047143
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Entity Type | Organization
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Legal Business Name | COLORADO OTOLARYNGOLOGY ASSOCIATES, LLC
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Dates
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Enumeration Date | 07/14/2005
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Last Update Date | 09/12/2025
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Provider Practice Location Address
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Address Line | 3030 N CIRCLE DR SUITE 300
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City | COLORADO SPRINGS
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State | CO
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Zip | 80909-1177
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Country | US
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Telephone | 719-867-7800
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Fax | 719-867-7899
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Provider Business Mailing Address
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Address Line | PO BOX 9190
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City | COLORADO SPRINGS
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State | CO
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Zip | 80932-0190
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Country | US
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Telephone | 719-867-7800
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Fax | 719-867-7899
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Authorized Official
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Title or Position | CHIEF EXECUTIVE OFFICER
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Name | KEVIN WATSON
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Credential |
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Telephone | 719-867-7800
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number |
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License Number State |
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