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General NPI Number Information
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NPI Number | 1750752390
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Entity Type | Organization
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Legal Business Name | MESA COUNTY DEPT OF HUMAN SERVICES
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Dates
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Enumeration Date | 10/08/2015
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Last Update Date | 10/08/2015
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Provider Practice Location Address
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Address Line | 510 29 1/2 RD
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City | GRAND JUNCTION
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State | CO
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Zip | 81504-5383
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Country | US
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Telephone | 970-683-2631
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Fax | 970-255-3608
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Provider Business Mailing Address
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Address Line | 510 29 1/2 RD
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City | GRAND JUNCTION
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State | CO
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Zip | 81504-5383
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Country | US
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Telephone | 970-683-2631
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Fax | 970-255-3608
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Authorized Official
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Title or Position | EXECUTIVE DIRECTOR
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Name | TRACEY GARCHAR
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Credential |
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Telephone | 970-248-2810
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 171W00000X
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Taxonomy Name | Contractor
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License Number |
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License Number State |
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