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General NPI Number Information
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NPI Number | 1720011786
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Entity Type | Organization
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Legal Business Name | BIG THOMPSON MEDICAL GROUP INC
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Dates
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Enumeration Date | 07/09/2006
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Last Update Date | 01/06/2011
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Provider Practice Location Address
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Address Line | 1627 E 18TH ST
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City | LOVELAND
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State | CO
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Zip | 80538-4209
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Country | US
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Telephone | 970-663-0135
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Fax | 970-461-1422
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Provider Business Mailing Address
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Address Line | 1627 E 18TH ST
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City | LOVELAND
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State | CO
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Zip | 80538-4209
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Country | US
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Telephone | 970-663-0135
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Fax | 970-461-1422
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. EDWARD A NORMAN
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Credential | MD
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Telephone | 970-663-0135
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 367A00000X
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Taxonomy Name | Advanced Practice Midwife
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License Number | 61438
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License Number State | CO
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Taxonomy #2
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Taxonomy Code | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number | 31069
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License Number State | CO
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Taxonomy #3
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Taxonomy Code | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number | 33354
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License Number State | CO
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Taxonomy #4
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Taxonomy Code | 261QU0200X
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Taxonomy Name | Urgent Care Clinic/Center
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License Number | 27598
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License Number State | CO
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Taxonomy #5
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Taxonomy Code | 207RA0201X
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Taxonomy Name | Allergy & Immunology (Internal Medicine) Physician
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License Number | 18320
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License Number State | CO
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Taxonomy #6
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Taxonomy Code | 208M00000X
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Taxonomy Name | Hospitalist Physician
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License Number | 37823
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License Number State | CO
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Taxonomy #7
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 37927
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License Number State | CO
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Taxonomy #8
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | 89947
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License Number State | CO
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Taxonomy #9
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Taxonomy Code | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | 2059
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License Number State | CO
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Taxonomy #10
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Taxonomy Code | 2084N0400X
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Taxonomy Name | Neurology Physician
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License Number | 48281
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License Number State | CO
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Taxonomy #11
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 19473
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License Number State | CO
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