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General NPI Number Information
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NPI Number | 1003089426
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Entity Type | Organization
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Legal Business Name | WEST ROUTT RURAL HEALTH COUNCIL
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Dates
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Enumeration Date | 04/07/2008
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Last Update Date | 04/07/2008
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Provider Practice Location Address
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Address Line | 300 S SHELTON LN
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City | HAYDEN
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State | CO
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Zip | 81639-9634
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Country | US
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Telephone | 970-276-4484
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Fax | 970-276-4197
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Provider Business Mailing Address
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Address Line | 300 S SHELTON LN
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City | HAYDEN
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State | CO
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Zip | 81639-9634
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Country | US
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Telephone | 970-276-4484
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Fax | 970-276-4197
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Authorized Official
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Title or Position | DIRECTOR
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Name | KAREN BURLEY
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Credential |
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Telephone | 970-276-1414
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 310400000X
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Taxonomy Name | Assisted Living Facility
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License Number | AL-0515
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License Number State | CO
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