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General NPI Number Information
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NPI Number | 1952590879
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Entity Type | Organization
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Legal Business Name | COLORADO FAMILY ORTHOPAEDICS, PC
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Dates
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Enumeration Date | 10/16/2007
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Last Update Date | 03/12/2008
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Provider Practice Location Address
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Address Line | 1175 S PERRY ST
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City | CASTLE ROCK
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State | CO
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Zip | 80104-1969
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Country | US
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Telephone | 303-746-4460
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Fax |
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Provider Business Mailing Address
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Address Line | 9457 S UNIVERSITY BLVD SUITE 344
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City | HIGHLANDS RANCH
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State | CO
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Zip | 80126-4976
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | JON GARRAMONE
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Credential | M.D.
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Telephone | 303-746-4460
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207X00000X
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Taxonomy Name | Orthopaedic Surgery Physician
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License Number | 43017
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License Number State | CO
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