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General NPI Number Information
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NPI Number | 1790809549
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Entity Type | Organization
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Legal Business Name | COLORADO SURGICAL AFFILIATES, LLC
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Dates
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Enumeration Date | 03/19/2007
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Last Update Date | 07/16/2024
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Provider Practice Location Address
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Address Line | 2373 G RD STE 200
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City | GRAND JUNCTION
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State | CO
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Zip | 81505-1006
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Country | US
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Telephone | 970-243-3061
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Fax | 970-245-8369
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Provider Business Mailing Address
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Address Line | 2373 G RD
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City | GRAND JUNCTION
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State | CO
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Zip | 81505-1002
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Country | US
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Telephone | 970-243-3061
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Fax | 970-245-4235
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Authorized Official
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Title or Position | PHYSICIAN
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Name | DR. MICHAEL MURRAY
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Credential | MD
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Telephone | 970-243-3061
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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 | 539499
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License Number State | CO
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