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General NPI Number Information
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NPI Number | 1518412253
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Entity Type | Organization
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Legal Business Name | VMD PRIMARY PROVIDERS COLORADO, INC
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Dates
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Enumeration Date | 08/23/2016
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Last Update Date | 03/27/2025
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Provider Practice Location Address
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Address Line | 2001 S SHIELDS ST BLDG I
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City | FORT COLLINS
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State | CO
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Zip | 80526-1827
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Country | US
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Telephone | 970-221-5255
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Fax | 970-221-5206
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Provider Business Mailing Address
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Address Line | PO BOX 32517
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City | BELFAST
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State | ME
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Zip | 04915-0218
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Country | US
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Telephone | 844-969-0686
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Fax | 866-825-4869
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Authorized Official
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Title or Position | DIRECTOR REVENUE CYCLE
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Name | REBECCA RAGER
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Credential |
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Telephone | 844-969-0686
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine 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 | 261QP2300X
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Taxonomy Name | Primary Care Clinic/Center
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License Number |
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License Number State |
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