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General NPI Number Information
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NPI Number | 1720127483
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Entity Type | Organization
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Legal Business Name | FRONT RANGE ORTHOPEDIC SURGERY CENTER LLC
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Dates
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Enumeration Date | 02/06/2007
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Last Update Date | 02/26/2026
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Provider Practice Location Address
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Address Line | 1610 DRY CREEK DR STE 100
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City | LONGMONT
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State | CO
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Zip | 80503-6405
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Country | US
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Telephone | 720-494-3200
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Fax | 720-494-3209
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Provider Business Mailing Address
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Address Line | 1610 DRY CREEK DR STE 100
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City | LONGMONT
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State | CO
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Zip | 80503-6405
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Country | US
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Telephone | 720-494-3200
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Fax | 720-494-3209
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Authorized Official
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Title or Position | DIRECTOR OF CENTRAL SERVICES
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Name | KAREN HOFFMAN
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Credential |
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Telephone | 970-419-7014
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QA1903X
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Taxonomy Name | Ambulatory Surgical Clinic/Center
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License Number | 1133
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License Number State | CO
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