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General NPI Number Information
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NPI Number | 1619553344
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Entity Type | Organization
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Legal Business Name | NORTHEAST COLORADO HEALTH DEPARTMENT
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Dates
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Enumeration Date | 03/23/2021
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Last Update Date | 10/01/2025
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Provider Practice Location Address
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Address Line | 127 E DENVER ST STE C
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City | HOLYCOKE
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State | CO
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Zip | 80734-1553
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Country | US
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Telephone | 970-522-3741
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Fax | 970-522-1412
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Provider Business Mailing Address
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Address Line | 700 COLUMBINE ST
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City | STERLING
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State | CO
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Zip | 80751-3728
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Country | US
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Telephone | 970-522-3741
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Fax | 970-522-1412
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Authorized Official
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Title or Position | PUBLIC HEALTH DIRECTOR
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Name | PATRICIA LAYNE MCCLAIN
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Credential | BSN
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Telephone | 970-867-4918
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223D0001X
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Taxonomy Name | Public Health Dentistry
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License Number |
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License Number State |
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