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General NPI Number Information
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NPI Number | 1578625174
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Entity Type | Organization
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Legal Business Name | MOUNTAIN FAMILY HEALTH CENTERS
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Dates
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Enumeration Date | 12/14/2006
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Last Update Date | 01/16/2008
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Provider Practice Location Address
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Address Line | 20 E. LAKEVIEW DR. SUITE 205
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City | NEDERLAND
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State | CO
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Zip | 80466-0009
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Country | US
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Telephone | 303-258-3206
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Fax | 303-258-7302
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Provider Business Mailing Address
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Address Line | PO BOX 9
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City | NEDERLAND
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State | CO
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Zip | 80466-0009
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Country | US
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Telephone | 303-258-3206
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Fax | 303-258-7302
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Authorized Official
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Title or Position | EXECUTIVE DIRECTOR
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Name | MR. DAVID GRIFFITH ADAMSON
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Credential |
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Telephone | 970-945-2840
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QC1500X
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Taxonomy Name | Community Health Clinic/Center
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License Number | 0091
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License Number State | CO
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