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General NPI Number Information
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NPI Number | 1730476185
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Entity Type | Organization
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Legal Business Name | TRI-COUNTY HEALTH NETWORK
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Dates
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Enumeration Date | 07/06/2011
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Last Update Date | 08/13/2021
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Provider Practice Location Address
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Address Line | 447 W COLUMBIA AVE
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City | TELLURIDE
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State | CO
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Zip | 81435-9448
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Country | US
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Telephone | 970-708-7096
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Fax | 888-595-3242
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Provider Business Mailing Address
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Address Line | PO BOX 4222
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City | TELLURIDE
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State | CO
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Zip | 81435-4222
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Country | US
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Telephone | 970-728-8717
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Fax | 970-728-9007
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Authorized Official
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Title or Position | EXECUTIVE DIRECTOR
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Name | LYNN R BORUP
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Credential |
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Telephone | 719-480-3822
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251V00000X
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Taxonomy Name | Voluntary or Charitable Agency
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License Number |
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License Number State |
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