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General NPI Number Information
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NPI Number | 1023421641
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Entity Type | Organization
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Legal Business Name | RIO BLANCO BOCES
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Dates
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Enumeration Date | 06/11/2014
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Last Update Date | 06/11/2014
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Provider Practice Location Address
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Address Line | 402 W MAIN ST STE 219
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City | RANGELY
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State | CO
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Zip | 81648-2412
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Country | US
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Telephone | 970-675-2064
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Fax | 970-675-5023
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Provider Business Mailing Address
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Address Line | 402 W MAIN ST STE 219
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City | RANGELY
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State | CO
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Zip | 81648-2412
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Country | US
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Telephone | 970-675-2064
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Fax | 970-675-5023
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Authorized Official
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Title or Position | MEDICAID COORDINATOR
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Name | KRIS DENNY
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Credential |
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Telephone | 970-675-2064
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251300000X
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Taxonomy Name | Local Education Agency (LEA)
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License Number |
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License Number State |
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