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General NPI Number Information
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NPI Number | 1780511501
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Entity Type | Organization
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Legal Business Name | CIRCLE AND SAGE FUNCTIONAL MEDICINE PLLC
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Dates
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Enumeration Date | 05/06/2026
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Last Update Date | 05/06/2026
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Provider Practice Location Address
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Address Line | 1000 N 9TH ST STE 36
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City | GRAND JUNCTION
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State | CO
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Zip | 81501-3153
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Country | US
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Telephone | 970-436-3940
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Fax | 970-436-3941
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Provider Business Mailing Address
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Address Line | 1000 N 9TH ST STE 36
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City | GRAND JUNCTION
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State | CO
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Zip | 81501-3153
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Country | US
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Telephone | 970-436-3940
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Fax | 970-436-3941
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Authorized Official
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Title or Position | OWNER
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Name | ELEANOR MARIE DAVIS
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Credential | APRN
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Telephone | 970-436-3940
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207QA0401X
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Taxonomy Name | Addiction Medicine (Family Medicine) Physician
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 363LP2300X
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Taxonomy Name | Primary Care Nurse Practitioner
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License Number |
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License Number State |
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