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General NPI Number Information
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NPI Number | 1679841498
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Entity Type | Organization
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Legal Business Name | HILLCREST LLC
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Dates
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Enumeration Date | 12/07/2011
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Last Update Date | 12/07/2011
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Provider Practice Location Address
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Address Line | 535 N DOUGLAS AVE
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City | LOVELAND
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State | CO
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Zip | 80537-5380
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Country | US
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Telephone | 970-593-9800
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Fax | 970-593-9810
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Provider Business Mailing Address
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Address Line | 535 N DOUGLAS AVE
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City | LOVELAND
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State | CO
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Zip | 80537-5380
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Country | US
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Telephone | 970-593-9800
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Fax | 970-593-9810
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Authorized Official
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Title or Position | MANAGING MEMBER
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Name | CHRISTOPHER E OWENS
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Credential |
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Telephone | 970-593-9800
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QH0700X
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Taxonomy Name | Hearing and Speech Clinic/Center
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 261QP2000X
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Taxonomy Name | Physical Therapy Clinic/Center
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License Number |
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License Number State |
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