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General NPI Number Information
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NPI Number | 1689889966
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Entity Type | Organization
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Legal Business Name | ORTHOPEDIC SURGERY & SPORTS MEDICINE SPECIALIST
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Dates
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Enumeration Date | 05/11/2007
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Last Update Date | 04/15/2008
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Provider Practice Location Address
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Address Line | 9141 GRANT ST STE 10
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City | THORNTON
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State | CO
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Zip | 80229-4374
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Country | US
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Telephone | 303-450-6800
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Fax | 303-450-7153
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Provider Business Mailing Address
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Address Line | 9141 GRANT ST # 10
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City | THORNTON
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State | CO
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Zip | 80229-4374
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Country | US
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Telephone | 303-450-6800
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Fax | 303-450-7153
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Authorized Official
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Title or Position | OWNER
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Name | DR. TERRY JOEL WINTORY
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Credential | DO
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Telephone | 303-450-6800
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207XX0005X
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Taxonomy Name | Sports Medicine (Orthopaedic Surgery) Physician
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License Number |
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License Number State |
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