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General NPI Number Information
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NPI Number | 1689003766
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Entity Type | Organization
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Legal Business Name | CANYON VIEW ASC, LLC
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Dates
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Enumeration Date | 11/08/2013
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Last Update Date | 07/24/2024
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Provider Practice Location Address
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Address Line | 2373 G ROAD SUITE 180
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City | GRAND JUNCTION
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State | CO
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Zip | 81505
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Country | US
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Telephone | 970-773-2350
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Fax | 970-773-2351
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Provider Business Mailing Address
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Address Line | 2373 G ROAD SUITE 180
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City | GRAND JUNCTION
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State | CO
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Zip | 81505
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Country | US
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Telephone | 970-773-2350
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Fax | 970-773-2351
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Authorized Official
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Title or Position | PRESIDENT AND CEO
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Name | MR. CHRISTIAN THOMAS
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Credential |
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Telephone | 970-644-3011
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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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