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General NPI Number Information
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NPI Number | 1669288510
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Entity Type | Organization
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Legal Business Name | ONTO FERTILITY OF COLORADO PC
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Dates
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Enumeration Date | 12/05/2024
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Last Update Date | 12/05/2024
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Provider Practice Location Address
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Address Line | 12770 LYNNFIELD DR
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City | PARKER
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State | CO
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Zip | 80134
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Country | US
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Telephone | 303-999-3877
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Fax |
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Provider Business Mailing Address
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Address Line | 9615 E COUNTY LINE RD STE B
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City | CENTENNIAL
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State | CO
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Zip | 80112-3531
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Country | US
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Telephone | 352-239-8099
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Fax |
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Authorized Official
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Title or Position | DIRECTOR OF ADMINISTRATION
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Name | MRS. DALLAINA RACE
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Credential |
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Telephone | 352-239-8099
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207VE0102X
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Taxonomy Name | Reproductive Endocrinology Physician
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License Number |
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License Number State |
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