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General NPI Number Information
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NPI Number | 1699070193
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Entity Type | Organization
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Legal Business Name | ROCKY MOUNTAIN ORTHOPEDIC SPECIALISTS
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Dates
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Enumeration Date | 01/14/2011
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Last Update Date | 01/14/2011
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Provider Practice Location Address
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Address Line | 5285 MCWHINNEY BLVD STE 140
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City | LOVELAND
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State | CO
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Zip | 80538-8707
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Country | US
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Telephone | 888-876-2663
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Fax |
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Provider Business Mailing Address
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Address Line | 800 E 20TH ST STE 300
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City | CHEYENNE
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State | WY
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Zip | 82001-3882
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Country | US
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Telephone | 307-632-6637
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Fax | 307-632-3382
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Authorized Official
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Title or Position | OWNER
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Name | W. CARLTON RECKLING
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Credential | M.D.
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Telephone | 307-632-6637
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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 | 41285
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License Number State | CO
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