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General NPI Number Information
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NPI Number | 1306831250
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Entity Type | Organization
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Legal Business Name | COLORADO WEST OTOLARYNGOLOGISTS PC
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Dates
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Enumeration Date | 09/16/2005
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Last Update Date | 10/01/2025
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Provider Practice Location Address
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Address Line | 2515 FORESIGHT CIR UNIT 200
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City | GRAND JUNCTION
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State | CO
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Zip | 81505-1156
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Country | US
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Telephone | 970-245-2400
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Fax | 970-242-9092
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Provider Business Mailing Address
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Address Line | 2515 FORESIGHT CIR UNIT 200
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City | GRAND JUNCTION
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State | CO
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Zip | 81505-1156
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Country | US
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Telephone | 970-245-2400
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Fax | 970-242-9092
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Authorized Official
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Title or Position | CREDENTIALING
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Name | SANDY VALENTINE
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Credential |
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Telephone | 970-245-2400
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363AS0400X
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Taxonomy Name | Surgical Physician Assistant
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 2086S0122X
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Taxonomy Name | Plastic and Reconstructive Surgery Physician
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 208200000X
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Taxonomy Name | Plastic Surgery Physician
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 231H00000X
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Taxonomy Name | Audiologist
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number |
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License Number State |
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Taxonomy #6
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Taxonomy Code | 207Y00000X
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Taxonomy Name | Otolaryngology Physician
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License Number |
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License Number State |
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Taxonomy #7
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Taxonomy Code | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number |
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License Number State |
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Taxonomy #8
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Taxonomy Code | 207ND0101X
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Taxonomy Name | MOHS-Micrographic Surgery Physician
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License Number |
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License Number State |
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Taxonomy #9
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Taxonomy Code | 207YX0905X
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Taxonomy Name | Otolaryngology/Facial Plastic Surgery Physician
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License Number |
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License Number State |
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