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General NPI Number Information
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NPI Number | 1972670461
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Entity Type | Organization
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Legal Business Name | SOUTHERN COLORADO UTE SERVICE UNIT
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Dates
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Enumeration Date | 11/29/2006
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Last Update Date | 02/10/2025
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Provider Practice Location Address
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Address Line | 232 RUSTLING WILLOW
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City | TOWAOC
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State | CO
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Zip | 81334
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Country | US
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Telephone | 970-565-4441
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Fax | 970-565-9163
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Provider Business Mailing Address
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Address Line | PO BOX 95450
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City | CLEVELAND
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State | OH
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Zip | 44101-0033
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Country | US
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Telephone | 970-565-4441
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Fax | 970-565-4784
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Authorized Official
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Title or Position | BUSINESS OFFICE MANAGER
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Name | LUCY LANSING
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Credential |
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Telephone | 970-565-4441
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332800000X
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Taxonomy Name | Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy
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License Number |
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License Number State |
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