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General NPI Number Information
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NPI Number | 1801617626
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Entity Type | Organization
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Legal Business Name | ROCKY MOUNTAIN INFUSION CLINICS, LLC
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Dates
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Enumeration Date | 10/23/2024
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Last Update Date | 10/23/2024
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Provider Practice Location Address
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Address Line | 1551 PROFESSIONAL LN UNIT 190
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City | LONGMONT
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State | CO
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Zip | 80501-6963
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Country | US
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Telephone | 720-201-6912
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Fax | 720-745-8953
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Provider Business Mailing Address
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Address Line | 1551 PROFESSIONAL LN UNIT 190
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City | LONGMONT
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State | CO
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Zip | 80501-6963
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Country | US
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Telephone | 720-201-6912
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Fax | 720-745-8953
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Authorized Official
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Title or Position | OWNER
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Name | PATRICK RYAN MCFERRIN
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Credential |
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Telephone | 720-201-6912
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QI0500X
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Taxonomy Name | Infusion Therapy Clinic/Center
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License Number |
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License Number State |
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