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General NPI Number Information
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NPI Number | 1649756578
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Entity Type | Organization
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Legal Business Name | PEAK MEDICAL CARE, PLLC
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Dates
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Enumeration Date | 07/13/2018
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Last Update Date | 12/03/2025
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Provider Practice Location Address
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Address Line | 16420 W US HIGHWAY 24
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City | WOODLAND PARK
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State | CO
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Zip | 80863-8760
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Country | US
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Telephone | 626-327-6795
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 17503
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City | DENVER
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State | CO
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Zip | 80217-0503
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Country | US
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Telephone | 877-346-2211
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Fax |
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Authorized Official
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Title or Position | AUTHORIZED OFFICIAL
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Name | GEORGE LOUIS HERTNER
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Credential | MD
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Telephone | 719-884-2000
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208M00000X
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Taxonomy Name | Hospitalist 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 | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number |
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License Number State |
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