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General NPI Number Information
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NPI Number | 1689671539
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Entity Type | Individual
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Provider Name | KEVIN E BACHUS MD
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Gender | Male
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Dates
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Enumeration Date | 07/07/2005
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Last Update Date | 01/14/2021
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Provider Practice Location Address
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Address Line | 1080 E ELIZABETH ST
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City | FORT COLLINS
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State | CO
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Zip | 80524-3953
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Country | US
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Telephone | 970-493-6353
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Fax | 970-493-6366
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Provider Business Mailing Address
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Address Line | 1080 E ELIZABETH ST
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City | FORT COLLINS
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State | CO
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Zip | 80524-3953
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Country | US
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Telephone | 970-493-6353
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Fax | 970-493-6366
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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 | 207VG0400X
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Taxonomy Name | Gynecology Physician
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License Number | 27514
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License Number State | CO
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Taxonomy #2
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Taxonomy Code | 207VE0102X
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Taxonomy Name | Reproductive Endocrinology Physician
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License Number | 27514
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License Number State | CO
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