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General NPI Number Information
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NPI Number | 1205871092
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Entity Type | Organization
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Legal Business Name | LONGMONT UNITED HOSPITAL
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Dates
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Enumeration Date | 06/17/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 1551 PROFESSIONAL LN UNIT 155
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City | LONGMONT
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State | CO
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Zip | 80501-6972
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Country | US
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Telephone | 303-651-5225
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Fax | 720-494-4748
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Provider Business Mailing Address
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Address Line | 1551 PROFESSIONAL LN UNIT 155
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City | LONGMONT
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State | CO
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Zip | 80501-6972
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Country | US
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Telephone | 303-651-5225
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Fax | 720-494-4748
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Authorized Official
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Title or Position | CHIEF FINANCIAL OFFICER
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Name | MR. NEIL BERTRAND
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Credential |
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Telephone | 303-651-5023
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number | 0931
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License Number State | CO
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