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General NPI Number Information
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NPI Number | 1083067540
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Entity Type | Organization
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Legal Business Name | HEALTH INSTITUTE OF WESTERN COLORADO
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Dates
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Enumeration Date | 07/20/2016
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Last Update Date | 04/01/2019
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Provider Practice Location Address
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Address Line | 321 ROOD AVE # 103
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City | GRAND JUNCTION
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State | CO
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Zip | 81501
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Country | US
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Telephone | 970-241-2400
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Fax | 970-241-3786
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Provider Business Mailing Address
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Address Line | 321 ROOD AVE # 103
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City | GRAND JUNCTION
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State | CO
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Zip | 81501-2420
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Country | US
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Telephone | 970-241-2400
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Fax | 970-241-3786
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Authorized Official
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Title or Position | OWNER
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Name | DR. JEFFREY WILLIAM MCCLOSKEY
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Credential | D.C.
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Telephone | 970-241-2400
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 171100000X
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Taxonomy Name | Acupuncturist
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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 | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | 6250
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License Number State | CO
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