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General NPI Number Information
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NPI Number | 1659625101
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Entity Type | Organization
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Legal Business Name | ENDOSCOPY CENTER OF GRAND JUNCTION LLC
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Dates
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Enumeration Date | 11/06/2012
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Last Update Date | 09/15/2025
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Provider Practice Location Address
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Address Line | 1035 WELLINGTON AVE STE 102
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City | GRAND JUNCTION
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State | CO
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Zip | 81501-8122
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Country | US
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Telephone | 970-242-6600
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Fax | 970-241-8443
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Provider Business Mailing Address
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Address Line | 14201 DALLAS PKWY
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City | DALLAS
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State | TX
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Zip | 75254-2916
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OFFICER/AO
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Name | JILL E FINKE
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Credential |
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Telephone | 210-478-5430
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QA1903X
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Taxonomy Name | Ambulatory Surgical Clinic/Center
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License Number |
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License Number State |
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