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General NPI Number Information
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NPI Number | 1467829309
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Entity Type | Organization
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Legal Business Name | PIKES PEAK ENT
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Dates
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Enumeration Date | 08/26/2015
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Last Update Date | 09/02/2025
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Provider Practice Location Address
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Address Line | 2060 BRIARGATE PKWY STE 120
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City | COLORADO SPRINGS
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State | CO
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Zip | 80920-7699
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Country | US
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Telephone | 719-301-3800
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Fax | 719-301-3855
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Provider Business Mailing Address
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Address Line | 2060 BRIARGATE PKWY STE 120
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City | COLORADO SPRINGS
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State | CO
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Zip | 80920-7699
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Country | US
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Telephone | 719-301-3800
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Fax | 719-301-3855
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Authorized Official
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Title or Position | MANAGING PARTNER
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Name | MICHAEL WILHELM
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Credential |
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Telephone | 719-301-3800
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Y00000X
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Taxonomy Name | Otolaryngology Physician
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License Number |
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License Number State |
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