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General NPI Number Information
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NPI Number | 1447846704
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Entity Type | Organization
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Legal Business Name | ORTHOPAEDIC & SPINE CENTER OF THE ROCKIES PC
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Dates
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Enumeration Date | 12/21/2020
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Last Update Date | 12/21/2020
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Provider Practice Location Address
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Address Line | 3470 E 15TH ST
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City | LOVELAND
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State | CO
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Zip | 80538-8809
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Country | US
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Telephone | 970-663-3975
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Fax | 970-663-2235
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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 | CEO
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Name | MICHAEL ALLEN BEGERSON
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Credential |
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Telephone | 970-419-7007
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208100000X
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Taxonomy Name | Physical Medicine & Rehabilitation Physician
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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 | 2085R0202X
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Taxonomy Name | Diagnostic Radiology 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 | 213ES0103X
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Taxonomy Name | Foot & Ankle Surgery Podiatrist
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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 | 335E00000X
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Taxonomy Name | Prosthetic/Orthotic Supplier
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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 | 207X00000X
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Taxonomy Name | Orthopaedic Surgery Physician
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License Number |
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License Number State |
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