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General NPI Number Information
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NPI Number | 1447457718
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Entity Type | Organization
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Legal Business Name | ROCKY MOUNTAIN ENDOCRINE CONSULTANTS PC
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Dates
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Enumeration Date | 06/29/2007
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Last Update Date | 05/28/2014
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Provider Practice Location Address
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Address Line | 2121 E HARMONY RD STE 300
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City | FORT COLLINS
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State | CO
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Zip | 80528-3400
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Country | US
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Telephone | 970-295-0010
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Fax |
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Provider Business Mailing Address
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Address Line | 2121 E HARMONY RD STE 300
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City | FORT COLLINS
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State | CO
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Zip | 80528-3400
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Country | US
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Telephone | 970-295-0010
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. MERIAM IZON
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Credential | M.D.
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Telephone | 970-295-0010
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RE0101X
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Taxonomy Name | Endocrinology, Diabetes & Metabolism Physician
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License Number |
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License Number State |
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