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General NPI Number Information
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NPI Number | 1619781861
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Entity Type | Organization
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Legal Business Name | SUMMIT RHEUMATOLOGY AND ARTHRITIS -COLORADO PLLC
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Dates
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Enumeration Date | 02/06/2025
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Last Update Date | 02/06/2025
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Provider Practice Location Address
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Address Line | 4105 BRIARGATE PKWY STE 205
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City | COLORADO SPRINGS
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State | CO
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Zip | 80920-3484
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Country | US
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Telephone | 719-886-6704
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Fax | 877-550-2140
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Provider Business Mailing Address
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Address Line | 2451 E BASELINE RD STE 425
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City | GILBERT
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State | AZ
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Zip | 85234-0049
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Country | US
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Telephone | 480-494-2770
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Fax |
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Authorized Official
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Title or Position | SOLE MEMBER/ DO
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Name | BRITTANY PANICO
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Credential | DO
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Telephone | 619-823-0642
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RR0500X
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Taxonomy Name | Rheumatology Physician
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License Number |
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License Number State |
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