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General NPI Number Information
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NPI Number | 1982806576
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Entity Type | Individual
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Provider Name | PAUL TERRENCE O'ROURKE MD
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Gender | Male
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Dates
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Enumeration Date | 06/05/2007
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Last Update Date | 09/07/2023
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Provider Practice Location Address
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Address Line | 188 INVERNESS DRIVE W SUITE 500
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City | ENGLEWOOD
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State | CO
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Zip | 80112
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Country | US
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Telephone | 303-804-8228
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Fax | 303-804-8182
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Provider Business Mailing Address
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Address Line | 3512 W DAVID LN
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City | COLORADO SPRINGS
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State | CO
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Zip | 80917-5845
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Country | US
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Telephone | 303-804-8228
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Fax | 303-804-8182
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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 | 208600000X
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Taxonomy Name | Surgery Physician
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License Number | 28698
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License Number State | MI
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Taxonomy #2
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Taxonomy Code | 208600000X
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Taxonomy Name | Surgery Physician
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License Number | 20015
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License Number State | CO
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