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General NPI Number Information
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NPI Number | 1144311747
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Entity Type | Organization
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Legal Business Name | ELK RIVER ANESTHESIA ASSOCIATES, P.C.
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Dates
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Enumeration Date | 09/27/2006
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Last Update Date | 08/15/2018
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Provider Practice Location Address
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Address Line | 1024 CENTRAL PARK DR
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City | STEAMBOAT SPRINGS
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State | CO
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Zip | 80487
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Country | US
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Telephone | 970-879-1322
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Fax |
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Provider Business Mailing Address
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Address Line | 1135 E HIGHWAY 40
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City | CRAIG
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State | CO
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Zip | 81625-1208
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Country | US
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Telephone | 970-824-1088
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Fax | 970-824-2700
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Authorized Official
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Title or Position | PRESIDENT
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Name | DAVID M SKOLNICK
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Credential |
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Telephone | 307-214-0603
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number |
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License Number State |
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