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General NPI Number Information
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NPI Number | 1710936927
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Entity Type | Organization
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Legal Business Name | WESTERN SURGICAL GROUP PC
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Dates
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Enumeration Date | 05/08/2006
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Last Update Date | 08/16/2013
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Provider Practice Location Address
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Address Line | 940 CENTRAL PARK DR STE 200
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City | STEAMBOAT SPRINGS
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State | CO
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Zip | 80487
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Country | US
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Telephone | 970-870-9240
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Fax | 970-879-6510
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Provider Business Mailing Address
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Address Line | 940 CENTRAL PARK DR STE 200
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City | STEAMBOAT SPRINGS
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State | CO
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Zip | 80487
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Country | US
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Telephone | 970-870-9240
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Fax | 970-879-6510
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Authorized Official
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Title or Position | CO OWNER
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Name | MR. ALLEN T BELSHAW
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Credential |
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Telephone | 970-870-9240
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208600000X
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Taxonomy Name | Surgery Physician
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License Number |
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License Number State |
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