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General NPI Number Information
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NPI Number | 1215535943
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Entity Type | Organization
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Legal Business Name | LOWER VALLEY HOSPITAL ASSOCIATION
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Dates
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Enumeration Date | 10/14/2020
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Last Update Date | 04/03/2024
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Provider Practice Location Address
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Address Line | 576 KOKOPELLI BLVD UNIT F -PRACTICE LOCATION NPI ONLY-
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City | FRUITA
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State | CO
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Zip | 81521
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Country | US
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Telephone | 970-858-2589
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Fax | 970-858-9179
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Provider Business Mailing Address
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Address Line | PO BOX 130
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City | FRUITA
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State | CO
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Zip | 81521-0130
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Country | US
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Telephone | 970-858-2186
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Fax | 970-858-2208
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Authorized Official
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Title or Position | PRESIDENT/CEO
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Name | KORREY KLEIN
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Credential |
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Telephone | 970-858-2164
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QI0500X
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Taxonomy Name | Infusion Therapy Clinic/Center
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License Number |
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License Number State |
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