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NPI 1497899793

NPI 1497899793 : FORT COLLINS NEUROLOGY PC : FORT COLLINS, CO

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General NPI Number Information
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    NPI Number           |    1497899793
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    Entity Type          |    Organization 
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    Legal Business Name  |    FORT COLLINS NEUROLOGY PC 
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Dates
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    Enumeration Date     |    02/19/2007
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    Last Update Date     |    06/03/2015
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Provider Practice Location Address
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    Address Line         |    2121 E HARMONY RD # 270 
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    City                 |    FORT COLLINS
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    State                |    CO
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    Zip                  |    80528-3402
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    Country              |    US
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    Telephone            |    970-221-1993
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    Fax                  |    970-221-9170
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Provider Business Mailing Address
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    Address Line         |    2121 E HARMONY RD # 270 
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    City                 |    FORT COLLINS
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    State                |    CO
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    Zip                  |    80528-3402
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    Country              |    US
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    Telephone            |    970-221-1993
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    Fax                  |    970-221-9170
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Authorized Official
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    Title or Position    |    PHYSICIAN
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    Name                 |    DR. MICHAEL P CURIEL 
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    Credential           |    M.D.
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    Telephone            |    970-221-1993
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    174400000X
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    Taxonomy Name        |    Specialist
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    License Number       |    
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    License Number State |    
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