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General NPI Number Information
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NPI Number | 1760605554
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Entity Type | Organization
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Legal Business Name | COLORADO ORTHOPEDIC GROUP, PROF. LLC
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Dates
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Enumeration Date | 04/10/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 7720 S BROADWAY SUITE 530
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City | LITTLETON
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State | CO
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Zip | 80122-2632
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Country | US
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Telephone | 303-650-4064
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Fax | 303-730-0386
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Provider Business Mailing Address
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Address Line | PO BOX 270716
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City | LITTLETON
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State | CO
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Zip | 80127-0012
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Country | US
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Telephone | 303-650-4094
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Fax | 303-730-0386
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Authorized Official
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Title or Position | PRACTICE MANAGER
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Name | ANGEL LEHMAN
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Credential |
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Telephone | 303-650-4094
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number | 37449
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License Number State | CO
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