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NPI 1740467315

NPI 1740467315 : WORKPARTNERS : GRAND JUNCTION, CO

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General NPI Number Information
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    NPI Number           |    1740467315
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    Entity Type          |    Organization 
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    Legal Business Name  |    WORKPARTNERS 
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Dates
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    Enumeration Date     |    01/26/2008
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    Last Update Date     |    01/26/2008
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Provider Practice Location Address
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    Address Line         |    1060 ORCHARD AVE UNIT O 
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    City                 |    GRAND JUNCTION
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    State                |    CO
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    Zip                  |    81501-2997
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    Country              |    US
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    Telephone            |    970-241-5585
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    Fax                  |    970-241-5582
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Provider Business Mailing Address
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    Address Line         |    1060 ORCHARD AVE UNIT O 
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    City                 |    GRAND JUNCTION
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    State                |    CO
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    Zip                  |    81501-2997
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    Country              |    US
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    Telephone            |    970-241-5585
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    Fax                  |    970-241-5582
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Authorized Official
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    Title or Position    |    OWNER
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    Name                 |    DR. FREDERICK J MOSLEY 
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    Credential           |    M.D.
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    Telephone            |    970-241-5585
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    207QS0010X
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    Taxonomy Name        |    Sports Medicine (Family Medicine) Physician
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    License Number       |    39442
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    License Number State |    CO
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