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General NPI Number Information
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NPI Number | 1063386225
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Entity Type | Organization
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Legal Business Name | COLORADO WEST OTOLARYNGOLOGISTS PC
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Dates
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Enumeration Date | 10/01/2025
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Last Update Date | 10/01/2025
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Provider Practice Location Address
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Address Line | 233 COTTONWOOD ST
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City | DELTA
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State | CO
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Zip | 81416-4400
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Country | US
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Telephone | 970-245-2400
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Fax | 970-242-9092
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Provider Business Mailing Address
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Address Line | 2515 FORESIGHT CIR UNIT 200
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City | GRAND JUNCTION
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State | CO
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Zip | 81505-1156
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Country | US
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Telephone | 970-245-2400
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Fax | 970-242-9092
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Authorized Official
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Title or Position | PHYSICIAN
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Name | DR. MCKAY J MOLINE
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Credential | MD
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Telephone | 970-245-2400
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 231H00000X
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Taxonomy Name | Audiologist
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 207Y00000X
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Taxonomy Name | Otolaryngology Physician
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License Number |
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License Number State |
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