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General NPI Number Information
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NPI Number | 1396188140
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Entity Type | Organization
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Legal Business Name | NURSING SOLES, LLC
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Dates
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Enumeration Date | 04/11/2013
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Last Update Date | 04/11/2013
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Provider Practice Location Address
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Address Line | 17836 6300 RD
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City | MONTROSE
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State | CO
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Zip | 81403-9100
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Country | US
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Telephone | 970-209-4707
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Fax | 888-644-3519
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Provider Business Mailing Address
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Address Line | 17836 6300 RD
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City | MONTROSE
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State | CO
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Zip | 81403-9100
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Country | US
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Telephone | 970-209-4707
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Fax | 888-644-3519
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Authorized Official
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Title or Position | OWNER/MANAGER
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Name | GEORGIA MCGARRY
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Credential |
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Telephone | 970-209-4707
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 302R00000X
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Taxonomy Name | Health Maintenance Organization
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License Number | 167002
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License Number State | CO
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