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General NPI Number Information
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NPI Number | 1548908601
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Entity Type | Organization
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Legal Business Name | COLORADO WEST OMS PLLC
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Dates
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Enumeration Date | 05/26/2022
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Last Update Date | 05/26/2022
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Provider Practice Location Address
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Address Line | 2530 N 8TH ST STE 130
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City | GRAND JUNCTION
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State | CO
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Zip | 81501-8857
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Country | US
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Telephone | 970-243-4652
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Fax |
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Provider Business Mailing Address
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Address Line | 2530 N 8TH ST STE 130
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City | GRAND JUNCTION
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State | CO
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Zip | 81501-8857
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Country | US
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Telephone | 970-243-4652
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DR. DANIEL CAMERON REECE
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Credential | DMD, MD
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Telephone | 801-368-8548
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 204E00000X
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Taxonomy Name | Oral & Maxillofacial Surgery (D.M.D.)
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License Number |
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License Number State |
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