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General NPI Number Information
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NPI Number | 1114988458
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Entity Type | Organization
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Legal Business Name | COLUMBINE WOMEN'S CLINIC
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Dates
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Enumeration Date | 03/28/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 1020 LUKE ST STE. A
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City | FT COLLINS
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State | CO
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Zip | 80524-4016
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Country | US
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Telephone | 970-225-6100
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Fax | 970-225-6102
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Provider Business Mailing Address
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Address Line | PO BOX 1418
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City | FT COLLINS
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State | CO
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Zip | 80522-1418
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Country | US
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Telephone | 970-225-6100
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Fax | 970-225-6102
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Authorized Official
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Title or Position | OWNER
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Name | JONATHAN E FRANCO
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Credential | M.D.
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Telephone | 970-225-6100
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207VG0400X
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Taxonomy Name | Gynecology Physician
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License Number | 35152
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License Number State | CO
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