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General NPI Number Information
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NPI Number | 1578161246
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Entity Type | Organization
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Legal Business Name | DURANGO OSTEOPATHIC CARE, PC
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Dates
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Enumeration Date | 10/14/2020
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Last Update Date | 04/06/2022
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Provider Practice Location Address
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Address Line | 835 E 2ND AVE STE 206
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City | DURANGO
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State | CO
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Zip | 81301-5474
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Country | US
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Telephone | 970-828-6500
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Fax | 970-480-9991
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Provider Business Mailing Address
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Address Line | 835 E 2ND AVE STE 206
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City | DURANGO
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State | CO
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Zip | 81301-5474
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Country | US
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Telephone | 970-828-6500
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Fax | 970-480-9991
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Authorized Official
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Title or Position | OWNER
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Name | DR. EMMY WASHBURN LAWRASON-KOBOBEL
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Credential | DO
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Telephone | 970-828-6500
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 204D00000X
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Taxonomy Name | Neuromusculoskeletal Medicine & OMM Physician
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License Number |
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License Number State |
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