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General NPI Number Information
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NPI Number | 1518324441
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Entity Type | Organization
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Legal Business Name | VALLEY CITIZENS' FOUNDATION FOR HEALTH CARE INC
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Dates
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Enumeration Date | 01/22/2016
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Last Update Date | 04/05/2023
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Provider Practice Location Address
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Address Line | 1033 2ND AVE
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City | MONTE VISTA
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State | CO
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Zip | 81144-1737
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Country | US
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Telephone | 719-628-0533
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Fax |
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Provider Business Mailing Address
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Address Line | 1033 2ND AVE
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City | MONTE VISTA
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State | CO
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Zip | 81144-1737
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Country | US
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Telephone | 719-628-0533
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | ARLENE HARMS
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Credential |
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Telephone | 719-657-4104
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 333600000X
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Taxonomy Name | Pharmacy
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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 | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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License Number | 1680000105
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License Number State | CO
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