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General NPI Number Information
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NPI Number | 1114654795
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Entity Type | Organization
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Legal Business Name | VALLEY VIEW HOSPITAL ASSOCIATION
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Dates
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Enumeration Date | 08/04/2022
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Last Update Date | 10/04/2022
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Provider Practice Location Address
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Address Line | 1906 BLAKE AVE
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City | GLENWOOD SPRINGS
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State | CO
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Zip | 81601-4259
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Country | US
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Telephone | 970-945-6535
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 2270
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City | GLENWOOD SPRINGS
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State | CO
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Zip | 81602-2270
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Country | US
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Telephone | 970-384-7033
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Fax | 970-945-5460
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Authorized Official
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Title or Position | CHIEF FINANCIAL OFFICIAL
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Name | CHARLES CREVLING
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Credential |
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Telephone | 970-384-6606
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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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 | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 208M00000X
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Taxonomy Name | Hospitalist Physician
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 261QE0002X
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Taxonomy Name | Emergency Care Clinic/Center
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License Number |
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License Number State |
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