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General NPI Number Information
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NPI Number | 1487663167
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Entity Type | Individual
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Provider Name | RICHARD SCHELL IDLER MD
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Gender | Male
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Dates
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Enumeration Date | 08/05/2006
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Last Update Date | 06/05/2015
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Provider Practice Location Address
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Address Line | 4110 BRIARGATE PKWY SUITE 300
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City | COLORADO SPRINGS
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State | CO
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Zip | 80920-7835
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Country | US
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Telephone | 719-632-7669
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Fax | 719-632-0088
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Provider Business Mailing Address
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Address Line | 4110 BRIARGATE PKWY SUITE 300
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City | COLORADO SPRINGS
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State | CO
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Zip | 80920-7835
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Country | US
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Telephone | 719-632-7669
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Fax | 719-632-0088
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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 | 207XS0106X
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Taxonomy Name | Orthopaedic Hand Surgery Physician
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License Number | 36891
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License Number State | CO
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Taxonomy #2
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Taxonomy Code | 207XX0801X
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Taxonomy Name | Orthopaedic Trauma Physician
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License Number | 36891
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License Number State | CO
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Taxonomy #3
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Taxonomy Code | 2086S0129X
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Taxonomy Name | Vascular Surgery Physician
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License Number | 36891
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License Number State | CO
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Taxonomy #4
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Taxonomy Code | 2086S0105X
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Taxonomy Name | Surgery of the Hand (Surgery) Physician
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License Number | 36891
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License Number State | CO
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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 | 36891
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License Number State | CO
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