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General NPI Number Information
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NPI Number | 1659729721
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Entity Type | Individual
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Provider Name | CHRISTINE MARIE DIPOMPEO M.D.
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Gender | Female
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Dates
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Enumeration Date | 05/31/2016
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Last Update Date | 01/10/2025
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Provider Practice Location Address
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Address Line | 1909 VISTA DR
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City | LARAMIE
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State | WY
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Zip | 82070-5599
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Country | US
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Telephone | 307-745-8851
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Fax | 307-742-0961
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Provider Business Mailing Address
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Address Line | 9005 GRANT ST STE 200
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City | THORNTON
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State | CO
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Zip | 80229-4384
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Country | US
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Telephone | 303-287-2800
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Fax | 303-287-7357
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207X00000X
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Taxonomy Name | Orthopaedic Surgery Physician
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License Number | 125.068616
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License Number State | IL
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Taxonomy #2
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Taxonomy Code | 207XS0117X
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Taxonomy Name | Orthopaedic Surgery of the Spine Physician
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License Number | 036160248
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License Number State | IL
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