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General NPI Number Information
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NPI Number | 1750535266
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Entity Type | Organization
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Legal Business Name | WEST CUSTER COUNTY HOSPITAL DISTRICT
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Dates
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Enumeration Date | 11/11/2008
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Last Update Date | 03/19/2009
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Provider Practice Location Address
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Address Line | 740 EDWARDS ST.
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City | WESTCLIFFE
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State | CO
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Zip | 81252-8588
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Country | US
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Telephone | 719-783-2380
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Fax | 719-783-2377
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Provider Business Mailing Address
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Address Line | PO BOX 120
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City | WESTCLIFFE
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State | CO
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Zip | 81252
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Country | US
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Telephone | 719-783-2380
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Fax | 719-783-2377
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Authorized Official
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Title or Position | CEO
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Name | TERRY NIMNICHT
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Credential |
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Telephone | 719-783-2380
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332900000X
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Taxonomy Name | Non-Pharmacy Dispensing Site
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License Number |
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License Number State |
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