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General NPI Number Information
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NPI Number | 1851106751
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Entity Type | Organization
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Legal Business Name | ROCKY MOUNTAIN CLINICS, LLC
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Dates
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Enumeration Date | 02/10/2025
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Last Update Date | 02/10/2025
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Provider Practice Location Address
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Address Line | 1861 AUSTIN BLUFFS PKWY
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City | COLORADO SPRINGS
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State | CO
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Zip | 80918-7868
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Country | US
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Telephone | 970-493-9193
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Fax |
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Provider Business Mailing Address
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Address Line | 1120 E ELIZABETH ST STE G2
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City | FORT COLLINS
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State | CO
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Zip | 80524-4044
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Country | US
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Telephone | 970-443-8268
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Fax |
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Authorized Official
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Title or Position | FACILITIES DIRECTOR
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Name | PATRICIA MALOUFF
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Credential |
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Telephone | 970-443-8268
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | 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 | 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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