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General NPI Number Information
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NPI Number | 1760683841
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Entity Type | Organization
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Legal Business Name | RED ROCKS FOOT & ANKLE CENTER PLLC
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Dates
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Enumeration Date | 05/29/2007
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Last Update Date | 04/22/2020
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Provider Practice Location Address
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Address Line | 11 W DRY CREEK CIR #110
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City | LITTLETON
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State | CO
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Zip | 80120-8078
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Country | US
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Telephone | 303-797-6001
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Fax | 303-797-7452
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Provider Business Mailing Address
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Address Line | 11 W DRY CREEK CIR #110
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City | LITTLETON
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State | CO
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Zip | 80120-8078
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Country | US
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Telephone | 303-797-6001
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Fax | 303-797-7452
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Authorized Official
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Title or Position | OFFICE MANAGER
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Name | KATY HORAN
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Credential |
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Telephone | 303-797-6001
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 213ES0131X
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Taxonomy Name | Foot Surgery Podiatrist
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License Number | 623
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License Number State | CO
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