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General NPI Number Information
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NPI Number | 1316512643
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Entity Type | Organization
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Legal Business Name | HORMONE HEALTH AND WELLNESS OF COLORADO LLC
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Dates
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Enumeration Date | 05/20/2021
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Last Update Date | 05/20/2021
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Provider Practice Location Address
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Address Line | 1190 BOOKCLIFF AVE UNIT 202
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City | GRAND JUNCTION
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State | CO
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Zip | 81501-8159
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Country | US
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Telephone | 970-812-5115
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Fax | 970-812-5156
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Provider Business Mailing Address
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Address Line | HORMONE HEALTH & WELLNESS OF COLORADO 1190 BOOKCLIFF AVE UNIT 202
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City | GRAND JUNCTION
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State | CO
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Zip | 81501
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Country | US
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Telephone | 970-812-5115
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Fax | 970-812-5156
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Authorized Official
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Title or Position | MEDICAL DIRECTOR
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Name | DR. APRIL D GOGGANS
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Credential | DO
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Telephone | 970-812-5115
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number |
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License Number State |
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