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NPI 1740448018

NPI 1740448018 : SLEEPING BEAR PEDIATRICS PC : STEAMBOAT SPRINGS, CO

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General NPI Number Information
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    NPI Number           |    1740448018
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    Entity Type          |    Organization 
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    Legal Business Name  |    SLEEPING BEAR PEDIATRICS PC 
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Dates
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    Enumeration Date     |    05/23/2008
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    Last Update Date     |    04/26/2021
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Provider Practice Location Address
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    Address Line         |    405 ANGLERS DRIVE SUITE A
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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            |    970-879-2327
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    Fax                  |    970-879-1972
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Provider Business Mailing Address
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    Address Line         |    PO BOX 882470 
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    City                 |    STEAMBOAT SPRINGS
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    State                |    CO
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    Zip                  |    80488-2470
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    Country              |    US
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    Telephone            |    970-879-2327
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    Fax                  |    970-879-1972
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Authorized Official
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    Title or Position    |    PRESIDENT
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    Name                 |    DR. STEVEN ALAN ROSS 
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    Credential           |    MD
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    Telephone            |    970-879-2327
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    261QH0100X
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    Taxonomy Name        |    Health Service Clinic/Center
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    License Number       |    
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    License Number State |    
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Taxonomy #2
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    Taxonomy Code        |    261QH0100X
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    Taxonomy Name        |    Health Service Clinic/Center
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    License Number       |    28354
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    License Number State |    CO
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