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General NPI Number Information
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NPI Number | 1972683035
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Entity Type | Organization
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Legal Business Name | FRONT RANGE ENDOCRINOLOGY PC
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Dates
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Enumeration Date | 10/16/2006
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Last Update Date | 10/23/2018
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Provider Practice Location Address
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Address Line | 1625 MEDICAL CENTER PT SUITE 220
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City | COLORADO SPRINGS
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State | CO
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Zip | 80907-8731
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Country | US
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Telephone | 719-630-3276
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Fax | 719-635-4377
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Provider Business Mailing Address
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Address Line | 5753 WINDRIDGE PT
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City | COLORADO SPRINGS
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State | CO
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Zip | 80908-1423
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Country | US
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Telephone | 719-495-4120
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. LORI DAVIS BOOK
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Credential | M.D.
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Telephone | 719-359-1223
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM2500X
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Taxonomy Name | Medical Specialty Clinic/Center
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License Number | 42508
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License Number State | CO
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