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General NPI Number Information
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NPI Number | 1083713960
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Entity Type | Organization
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Legal Business Name | HAROLD A. FENSTER, MD, PC
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Dates
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Enumeration Date | 09/21/2006
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Last Update Date | 03/07/2023
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Provider Practice Location Address
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Address Line | 2630 H 3/4 RD
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City | GRAND JUNCTION
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State | CO
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Zip | 81506-1708
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Country | US
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Telephone | 970-210-8374
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Fax |
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Provider Business Mailing Address
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Address Line | 2630 H 3/4 RD
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City | GRAND JUNCTION
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State | CO
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Zip | 81506-1708
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Country | US
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Telephone | 970-210-8374
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. HAROLD A FENSTER
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Credential | MD
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Telephone | 970-210-8374
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208600000X
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Taxonomy Name | Surgery Physician
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License Number | 43196
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License Number State | CO
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