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General NPI Number Information
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NPI Number | 1912320185
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Entity Type | Individual
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Provider Name | REBECCA BADE M.D.
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Gender | Female
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Dates
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Enumeration Date | 01/24/2014
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Last Update Date | 06/04/2025
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Provider Practice Location Address
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Address Line | 2021 BATTLECREEK DR UNIT A
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City | FORT COLLINS
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State | CO
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Zip | 80528-5120
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Country | US
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Telephone | 970-818-5725
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Fax | 970-484-2846
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Provider Business Mailing Address
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Address Line | 2021 BATTLECREEK DR UNIT A
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City | FORT COLLINS
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State | CO
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Zip | 80528-5120
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Country | US
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Telephone | 970-818-5725
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Fax | 970-484-2846
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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 | 208M00000X
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Taxonomy Name | Hospitalist Physician
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License Number | DR.0062497
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License Number State | CO
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