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General NPI Number Information
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NPI Number | 1649908534
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Entity Type | Organization
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Legal Business Name | CEDAR POINT HEALTH LLC
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Dates
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Enumeration Date | 08/10/2022
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Last Update Date | 08/13/2024
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Provider Practice Location Address
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Address Line | 2454 HIGHWAY 6&50 #104
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City | GRAND JUNCTION
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State | CO
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Zip | 81505-1117
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Country | US
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Telephone | 970-644-9900
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Fax | 970-541-9806
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Provider Business Mailing Address
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Address Line | 300 S NEVADA AVE
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City | MONTROSE
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State | CO
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Zip | 81401-4273
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Country | US
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Telephone | 970-249-7751
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Fax | 970-541-9806
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Authorized Official
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Title or Position | CEO
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Name | CORY PHILLIPS
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Credential |
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Telephone | 970-249-7751
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QU0200X
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Taxonomy Name | Urgent Care Clinic/Center
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License Number |
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License Number State |
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