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General NPI Number Information
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NPI Number | 1427700194
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Entity Type | Organization
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Legal Business Name | TELLURIDE WHOLE HEALTH, LLC
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Dates
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Enumeration Date | 01/24/2022
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Last Update Date | 01/24/2022
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Provider Practice Location Address
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Address Line | 126 W COLORADO AVE # 207
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City | TELLURIDE
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State | CO
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Zip | 81435-8143
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Country | US
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Telephone | 970-239-8674
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Fax | 970-557-2329
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Provider Business Mailing Address
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Address Line | PO BOX 3610
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City | TELLURIDE
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State | CO
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Zip | 81435-3610
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Country | US
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Telephone | 970-239-8674
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Fax | 970-557-2329
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Authorized Official
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Title or Position | CEO
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Name | HEATHER LINDER
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Credential | MD
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Telephone | 970-239-8674
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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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