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General NPI Number Information
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NPI Number | 1437684941
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Entity Type | Individual
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Provider Name | CONOR DEAN SPADY M.D.
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Gender | Male
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Dates
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Enumeration Date | 04/23/2017
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Last Update Date | 09/16/2024
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Provider Practice Location Address
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Address Line | 1926 61ST AVE
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City | GREELEY
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State | CO
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Zip | 80634-8165
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Country | US
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Telephone | 970-573-3224
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Fax | 970-493-1794
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Provider Business Mailing Address
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Address Line | 2500 E PROSPECT RD
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City | FORT COLLINS
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State | CO
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Zip | 80525-9718
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Country | US
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Telephone | 970-493-0112
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Fax | 970-493-1794
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207XX0801X
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Taxonomy Name | Orthopaedic Trauma Physician
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License Number | DR.0072764
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License Number State | CO
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