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General NPI Number Information
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NPI Number | 1750092201
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Entity Type | Organization
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Legal Business Name | PANORAMA ORTHOPEDICS & SPINE CENTER, PC
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Dates
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Enumeration Date | 12/06/2022
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Last Update Date | 12/06/2022
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Provider Practice Location Address
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Address Line | 7987 S BROADWAY
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City | LITTLETON
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State | CO
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Zip | 80122-2715
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Country | US
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Telephone | 720-845-6880
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Fax | 720-845-6884
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Provider Business Mailing Address
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Address Line | 660 GOLDEN RIDGE RD STE 250
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City | GOLDEN
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State | CO
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Zip | 80401-9541
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Country | US
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Telephone | 303-233-1223
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | MARK J CONKLIN
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Credential | MD
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Telephone | 303-587-3061
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP2000X
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Taxonomy Name | Physical Therapy Clinic/Center
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License Number |
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License Number State |
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