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General NPI Number Information
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NPI Number | 1972509909
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Entity Type | Individual
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Provider Name | SANDRA L ZILA-EIVINS M.D.
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Gender | Female
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Dates
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Enumeration Date | 06/23/2005
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Last Update Date | 07/09/2007
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Provider Practice Location Address
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Address Line | 940 CENTRAL PARK DR STE 210
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City | STEAMBOAT SPRINGS
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State | CO
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Zip | 80487-8816
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Country | US
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Telephone | 970-871-4811
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Fax | 970-879-4527
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Provider Business Mailing Address
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Address Line | 940 CENTRAL PARK DR STE 210
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City | STEAMBOAT SPRINGS
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State | CO
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Zip | 80487-8816
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Country | US
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Telephone | 970-871-4811
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Fax | 970-879-4527
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number | 36567
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License Number State | CO
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