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General NPI Number Information
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NPI Number | 1346297421
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Entity Type | Organization
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Legal Business Name | ROCKY MOUNTAIN GAMMA KNIFE CENTER, LLC
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Dates
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Enumeration Date | 05/27/2006
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Last Update Date | 09/10/2021
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Provider Practice Location Address
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Address Line | 1635 AURORA CT
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City | AURORA
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State | CO
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Zip | 80045-2541
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Country | US
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Telephone | 303-366-0099
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Fax | 303-366-1415
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Provider Business Mailing Address
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Address Line | 1635 AURORA COURT, MAIL STOP F752
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City | AURORA
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State | CO
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Zip | 80045-2541
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Country | US
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Telephone | 303-366-0099
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Fax | 303-366-1415
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Authorized Official
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Title or Position | MANAGER
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Name | MR. WILLIAM J KOCHEVAR
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Credential |
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Telephone | 303-366-0099
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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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