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NPI 1578376539

NPI 1578376539 : NERVE AND JOINT INSTITUTE PC : LOVELAND, CO

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General NPI Number Information
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    NPI Number           |    1578376539
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    Entity Type          |    Organization 
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    Legal Business Name  |    NERVE AND JOINT INSTITUTE PC 
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Dates
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    Enumeration Date     |    01/31/2025
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    Last Update Date     |    01/31/2025
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Provider Practice Location Address
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    Address Line         |    3553 CLYDESDALE PKWY 
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    City                 |    LOVELAND
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    State                |    CO
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    Zip                  |    80538-8959
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    Country              |    US
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    Telephone            |    720-726-4523
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    3553 CLYDESDALE PKWY 
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    City                 |    LOVELAND
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    State                |    CO
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    Zip                  |    80538-8959
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    Country              |    US
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    Telephone            |    720-726-4523
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    Fax                  |    
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Authorized Official
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    Title or Position    |    OFFICE MANAGER
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    Name                 |     FRANCISCA  RAYOS 
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    Credential           |    
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    Telephone            |    303-741-0990
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    207K00000X
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    Taxonomy Name        |    Allergy & Immunology 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        |    208VP0000X
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    Taxonomy Name        |    Pain Medicine Physician
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    License Number       |    
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    License Number State |    
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Taxonomy #3
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    Taxonomy Code        |    213E00000X
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    Taxonomy Name        |    Podiatrist
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    License Number       |    
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    License Number State |    
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Taxonomy #4
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    Taxonomy Code        |    208100000X
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    Taxonomy Name        |    Physical Medicine & Rehabilitation Physician
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    License Number       |    
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    License Number State |    
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