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General NPI Number Information
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NPI Number | 1750188157
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Entity Type | Organization
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Legal Business Name | MONTROSE MEMORIAL HOSPITAL,INC
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Dates
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Enumeration Date | 02/25/2025
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Last Update Date | 02/25/2025
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Provider Practice Location Address
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Address Line | 500 W PACIFIC AVE
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City | TELLURIDE
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State | CO
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Zip | 81435
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Country | US
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Telephone | 970-252-1020
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Fax |
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Provider Business Mailing Address
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Address Line | 800 S 3RD ST
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City | MONTROSE
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State | CO
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Zip | 81401-4212
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Country | US
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Telephone | 970-252-2691
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Fax |
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Authorized Official
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Title or Position | CREDENTIALING COORDINATOR
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Name | MEGAN BEAVER
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Credential |
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Telephone | 970-252-2691
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RC0000X
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Taxonomy Name | Cardiovascular Disease Physician
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License Number |
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License Number State |
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