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General NPI Number Information
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NPI Number | 1861492621
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Entity Type | Organization
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Legal Business Name | COLORADO ORTHOTIC & PROSTHETIC SERVICES, LLC
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Dates
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Enumeration Date | 07/22/2005
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Last Update Date | 06/11/2025
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Provider Practice Location Address
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Address Line | 128 W 5TH AVE
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City | DENVER
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State | CO
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Zip | 80204-5105
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Country | US
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Telephone | 720-685-6520
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Fax | 720-685-6521
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Provider Business Mailing Address
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Address Line | 126 W 5TH AVE
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City | DENVER
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State | CO
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Zip | 80204-5105
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Country | US
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Telephone | 208-581-1117
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Fax | 720-858-7052
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. TIMOTHY L O'NEILL
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Credential |
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Telephone | 503-407-5408
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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License Number |
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License Number State | CO
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Taxonomy #2
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Taxonomy Code | 335E00000X
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Taxonomy Name | Prosthetic/Orthotic Supplier
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License Number |
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License Number State | CO
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