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General NPI Number Information
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NPI Number | 1336103811
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Entity Type | Organization
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Legal Business Name | HAXTUN HOSPITAL DISTRICT
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Dates
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Enumeration Date | 04/13/2006
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Last Update Date | 06/29/2011
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Provider Practice Location Address
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Address Line | 235 W FLETCHER ST
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City | HAXTUN
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State | CO
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Zip | 80731-2737
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Country | US
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Telephone | 970-774-6123
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Fax | 970-774-6158
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Provider Business Mailing Address
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Address Line | 235 W FLETCHER ST
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City | HAXTUN
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State | CO
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Zip | 80731-2737
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Country | US
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Telephone | 970-774-6123
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Fax | 970-774-6158
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Authorized Official
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Title or Position | CEO
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Name | MR. DONALD BURRIS
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Credential |
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Telephone | 970-774-6123
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 282NC0060X
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Taxonomy Name | Critical Access Hospital
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License Number | 0957
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License Number State | CO
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