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General NPI Number Information
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NPI Number | 1326636002
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Entity Type | Organization
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Legal Business Name | RESTORE OSTEO OF COLORADO LLC
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Dates
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Enumeration Date | 01/07/2021
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Last Update Date | 03/30/2023
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Provider Practice Location Address
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Address Line | 1230 TENDERFOOT HILL RD STE 255
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City | COLORADO SPRINGS
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State | CO
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Zip | 80906-7393
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Country | US
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Telephone | 303-216-2661
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Fax | 303-985-3917
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Provider Business Mailing Address
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Address Line | 400 INDIANA ST STE 280
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City | GOLDEN
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State | CO
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Zip | 80401-5069
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Country | US
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Telephone | 32-162-6613
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | CHRIS OSGOOD
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Credential |
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Telephone | 419-508-7686
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 163WI0500X
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Taxonomy Name | Infusion Therapy Registered Nurse
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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 | 207Q00000X
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Taxonomy Name | Family Medicine 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 | 225000000X
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Taxonomy Name | Orthotic Fitter
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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 | 225100000X
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Taxonomy Name | Physical Therapist
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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 | 363AM0700X
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Taxonomy Name | Medical Physician Assistant
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License Number |
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License Number State |
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Taxonomy #6
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number |
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License Number State |
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Taxonomy #7
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number |
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License Number State |
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