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General NPI Number Information
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NPI Number | 1902270440
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Entity Type | Organization
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Legal Business Name | LOWER VALLEY HOSPITAL ASSOCIATION
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Dates
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Enumeration Date | 11/20/2015
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Last Update Date | 08/21/2024
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Provider Practice Location Address
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Address Line | 551 KOKOPELLI BLVD UNIT F
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City | FRUITA
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State | CO
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Zip | 81521-6305
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Country | US
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Telephone | 970-858-2585
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Fax | 970-858-2555
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Provider Business Mailing Address
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Address Line | PO BOX 130
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City | FRUITA
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State | CO
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Zip | 81521-0130
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Country | US
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Telephone | 970-858-2186
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Fax | 970-858-2208
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Authorized Official
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Title or Position | PRESIDENT/CEO
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Name | KORREY KLEIN
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Credential |
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Telephone | 970-858-2164
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2081P2900X
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Taxonomy Name | Pain Medicine (Physical Medicine & Rehabilitation) Physician
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License Number | 0030888
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License Number State | CO
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