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General NPI Number Information
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NPI Number | 1013911437
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Entity Type | Organization
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Legal Business Name | NORTHEAST COLORADO HEALTH DEPARTMENT
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Dates
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Enumeration Date | 06/13/2005
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Last Update Date | 10/04/2022
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Provider Practice Location Address
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Address Line | 700 COLUMBINE ST
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City | STERLING
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State | CO
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Zip | 80751-3728
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Country | US
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Telephone | 970-522-3741
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Fax | 970-522-1412
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Provider Business Mailing Address
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Address Line | 700 COLUMBINE
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City | STERLING
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State | CO
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Zip | 80751
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Country | US
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Telephone | 970-522-3741
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Fax | 970-522-1412
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Authorized Official
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Title or Position | HUMAN RESOURCE DIRECTOR
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Name | MR. JOSEPH DASSARO
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Credential | PHR
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Telephone | 970-522-3741
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251K00000X
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Taxonomy Name | Public Health or Welfare Agency
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License Number | 98-05302
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License Number State | CO
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