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General NPI Number Information
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NPI Number | 1891837738
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Entity Type | Organization
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Legal Business Name | POUDRE VALLEY HEALTH CARE,INC
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Dates
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Enumeration Date | 02/13/2007
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Last Update Date | 03/12/2025
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Provider Practice Location Address
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Address Line | 1025 PENNOCK PL STE 114
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City | FORT COLLINS
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State | CO
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Zip | 80524-3250
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Country | US
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Telephone | 970-495-8800
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Fax | 970-495-8820
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Provider Business Mailing Address
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Address Line | 2695 ROCKY MOUNTAIN AVE STE 150
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City | LOVELAND
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State | CO
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Zip | 80538-9071
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | CFO
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Name | DAVID THOMPSON
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Credential |
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Telephone | 970-495-7000
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM2500X
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Taxonomy Name | Medical Specialty 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 | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number |
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License Number State |
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