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NPI 1467325480

NPI 1467325480 : ALPINE MEDICAL GROUP COLORADO PLLC : COLORADO SPRINGS, CO

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General NPI Number Information
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    NPI Number           |    1467325480
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    Entity Type          |    Organization 
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    Legal Business Name  |    ALPINE MEDICAL GROUP COLORADO PLLC 
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Dates
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    Enumeration Date     |    09/25/2025
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    Last Update Date     |    01/11/2026
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Provider Practice Location Address
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    Address Line         |    4190 E WOODMEN RD STE 200 
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    City                 |    COLORADO SPRINGS
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    State                |    CO
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    Zip                  |    80920-8075
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    Country              |    US
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    Telephone            |    719-632-4455
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    4190 E WOODMEN RD STE 200 
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    City                 |    COLORADO SPRINGS
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    State                |    CO
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    Zip                  |    80920-8075
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    Country              |    US
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    Telephone            |    719-632-4455
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    Fax                  |    
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Authorized Official
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    Title or Position    |    DIRECTOR OF CREDENTIALING
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    Name                 |     TRACEY J BAUGHEY 
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    Credential           |    
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    Telephone            |    267-981-6519
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    213E00000X
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    Taxonomy Name        |    Podiatrist
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    License Number       |    
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    License Number State |    
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