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General NPI Number Information
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NPI Number | 1821932484
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Entity Type | Organization
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Legal Business Name | HEALTH SOLUTIONS FAMILY MEDICINE AT HEALTHTRAC
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Dates
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Enumeration Date | 04/15/2026
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Last Update Date | 04/21/2026
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Provider Practice Location Address
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Address Line | 127 JUSTICE CENTER RD STE J
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City | CANON CITY
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State | CO
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Zip | 81212-9378
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Country | US
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Telephone | 719-423-1341
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Fax |
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Provider Business Mailing Address
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Address Line | 41 MONTEBELLO RD STE 204
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City | PUEBLO
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State | CO
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Zip | 81001-1379
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Country | US
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Telephone | 719-423-1341
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Fax | 719-545-4100
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Authorized Official
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Title or Position | CREDENTIALING MANAGER
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Name | JENNIFER RUDNIK
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Credential | MPM
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Telephone | 719-423-1341
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QU0200X
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Taxonomy Name | Urgent Care Clinic/Center
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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 | 261QP2300X
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Taxonomy Name | Primary Care Clinic/Center
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License Number |
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License Number State |
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