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General NPI Number Information
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NPI Number | 1568526887
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Entity Type | Organization
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Legal Business Name | NEW CREATION HEARING SOLUTIONS INC
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Dates
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Enumeration Date | 12/21/2006
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Last Update Date | 06/11/2008
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Provider Practice Location Address
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Address Line | 2470 PATTERSON RD UNIT 10
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City | GRAND JUNCTION
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State | CO
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Zip | 81505-1279
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Country | US
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Telephone | 970-241-7950
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Fax | 790-241-7951
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Provider Business Mailing Address
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Address Line | 2470 PATTERSON RD UNIT 10
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City | GRAND JUNCTION
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State | CO
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Zip | 81505-1279
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Country | US
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Telephone | 970-241-7950
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Fax | 790-241-7951
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Authorized Official
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Title or Position | PRESIDENT
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Name | PATRICIA ANN ATCHISON
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Credential | BCHIS
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Telephone | 970-241-7950
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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 | 141
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License Number State | CO
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