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General NPI Number Information
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NPI Number | 1851885438
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Entity Type | Individual
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Provider Name | JOHN J RADIO MD
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Gender | Male
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Dates
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Enumeration Date | 06/18/2018
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Last Update Date | 07/24/2025
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Provider Practice Location Address
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Address Line | 3843 RIO VISTA DR STE 1200
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City | COLORADO SPRINGS
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State | CO
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Zip | 80917-3378
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Country | US
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Telephone | 719-365-1950
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Fax | 719-364-4931
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Provider Business Mailing Address
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Address Line | 2695 ROCKY MOUNTAIN AVE STE 150
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City | LOVELAND
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State | CO
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Zip | 80538-9071
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Country | US
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Telephone | 719-365-1950
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Fax | 719-364-4931
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number | 34773
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License Number State | NE
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Taxonomy #2
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 38085
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License Number State | OK
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Taxonomy #3
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Taxonomy Code | 207RS0010X
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Taxonomy Name | Sports Medicine (Internal Medicine) Physician
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License Number | 34773
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License Number State | NE
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Taxonomy #4
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Taxonomy Code | 207PS0010X
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Taxonomy Name | Sports Medicine (Emergency Medicine) Physician
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License Number | DR.0069063
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License Number State | CO
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