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General NPI Number Information
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NPI Number | 1275536146
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Entity Type | Organization
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Legal Business Name | MESA COUNTY HEALTH DEPARTMENT
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Dates
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Enumeration Date | 05/24/2005
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Last Update Date | 12/14/2011
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Provider Practice Location Address
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Address Line | 510 29 1/2 ROAD
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City | GRAND JUNCTION
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State | CO
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Zip | 81504
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Country | US
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Telephone | 970-248-6905
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Fax | 970-248-6977
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Provider Business Mailing Address
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Address Line | P.O. BOX 20000
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City | GRAND JUNCTION
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State | CO
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Zip | 81502-5033
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Country | US
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Telephone | 970-248-6974
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Fax | 970-248-6974
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Authorized Official
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Title or Position | DIRECTOR
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Name | MR. JEFFREY KUHR
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Credential |
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Telephone | 970-248-6974
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 163WC1500X
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Taxonomy Name | Community Health Registered Nurse
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License Number | 39245
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License Number State | CO
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