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General NPI Number Information
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NPI Number | 1578140976
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Entity Type | Organization
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Legal Business Name | SPORTS MEDICINE OF THE ROCKIES PLLC
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Dates
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Enumeration Date | 03/24/2021
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Last Update Date | 01/15/2025
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Provider Practice Location Address
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Address Line | 6179 S BALSAM WAY STE 250
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City | LITTLETON
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State | CO
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Zip | 80123-3091
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Country | US
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Telephone | 720-603-8178
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Fax | 720-603-8179
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Provider Business Mailing Address
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Address Line | 6179 S BALSAM WAY STE 250
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City | LITTLETON
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State | CO
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Zip | 80123-3091
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Country | US
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Telephone | 720-603-8178
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Fax | 720-603-8179
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Authorized Official
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Title or Position | PHYSICIAN OWNER
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Name | DR. MATTHEW A CLOSE
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Credential | DO
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Telephone | 303-534-0388
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207PS0010X
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Taxonomy Name | Sports Medicine (Emergency Medicine) Physician
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License Number |
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License Number State |
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