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General NPI Number Information
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NPI Number | 1407584758
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Entity Type | Organization
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Legal Business Name | VALLEY VIEW HOSPITAL ASSOCIATION
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Dates
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Enumeration Date | 08/12/2022
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Last Update Date | 08/12/2022
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Provider Practice Location Address
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Address Line | 1906 BLAKE AVE
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City | GLENWOOD SPRINGS
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State | CO
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Zip | 81601-4227
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Country | US
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Telephone | 970-384-6710
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Fax | 970-384-7536
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Provider Business Mailing Address
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Address Line | PO BOX 2270
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City | GLENWOOD SPRINGS
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State | CO
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Zip | 81602-2270
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Country | US
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Telephone | 970-384-6710
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Fax | 970-384-7536
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Authorized Official
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Title or Position | CHIEF FINANCIAL OFFICER
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Name | CHARLES CREVLING
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Credential |
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Telephone | 970-384-6606
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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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 | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number |
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License Number State |
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