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General NPI Number Information
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NPI Number | 1659586972
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Entity Type | Organization
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Legal Business Name | ESTES PARK MEDICAL CENTER
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Dates
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Enumeration Date | 05/11/2007
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Last Update Date | 11/01/2021
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Provider Practice Location Address
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Address Line | 555 PROSPECT AVENUE
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City | ESTES PARK
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State | CO
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Zip | 80517
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Country | US
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Telephone | 970-577-4368
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Fax |
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Provider Business Mailing Address
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Address Line | 1251 WILLOW LANE
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City | ESTES PARK
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State | CO
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Zip | 80517
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Country | US
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Telephone | 970-577-6168
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Fax |
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Authorized Official
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Title or Position | DIRECTOR
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Name | LAUREL STOCKER JOHNSON
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Credential |
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Telephone | 970-577-4357
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 282NC0060X
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Taxonomy Name | Critical Access Hospital
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License Number | 8874
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License Number State | CO
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