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General NPI Number Information
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NPI Number | 1013002088
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Entity Type | Organization
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Legal Business Name | DAVID SAMUEL PATZ
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Dates
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Enumeration Date | 10/04/2006
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Last Update Date | 06/18/2012
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Provider Practice Location Address
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Address Line | 2232 N 7TH ST STE 4
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City | GRAND JUNCTION
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State | CO
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Zip | 81501-7459
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Country | US
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Telephone | 970-241-9760
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Fax | 970-257-0831
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Provider Business Mailing Address
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Address Line | 2232 N 7TH ST STE 4
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City | GRAND JUNCTION
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State | CO
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Zip | 81501-7459
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Country | US
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Telephone | 970-241-9760
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Fax | 970-257-0831
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Authorized Official
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Title or Position | OWNER MEDICAL DIRECTOR
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Name | DR. DAVID S PATZ
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Credential | MD
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Telephone | 970-241-9760
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QS1200X
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Taxonomy Name | Sleep Disorder Diagnostic Clinic/Center
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License Number |
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License Number State |
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