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General NPI Number Information
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NPI Number | 1487292868
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Entity Type | Organization
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Legal Business Name | GRAND VALLEY ORTHOPEDICS
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Dates
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Enumeration Date | 12/16/2019
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Last Update Date | 07/14/2025
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Provider Practice Location Address
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Address Line | 2532 PATTERSON RD STE 10
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City | GRAND JUNCTION
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State | CO
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Zip | 81505-3607
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Country | US
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Telephone | 970-254-0484
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Fax | 970-241-1681
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Provider Business Mailing Address
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Address Line | PO BOX 1727
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City | GRAND JUNCTION
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State | CO
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Zip | 81502-1727
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Country | US
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Telephone | 970-244-0150
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Fax | 970-263-2691
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Authorized Official
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Title or Position | PRESIDENT
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Name | CHRISTIAN THOMAS
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Credential |
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Telephone | 970-644-3011
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number |
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License Number State |
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