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General NPI Number Information
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NPI Number | 1982079612
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Entity Type | Organization
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Legal Business Name | ROCKY MOUNTAIN RURAL HEALTH
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Dates
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Enumeration Date | 12/07/2015
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Last Update Date | 12/07/2015
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Provider Practice Location Address
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Address Line | 525 HATHAWAY STREET
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City | FAIRPLAY
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State | CO
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Zip | 80440-1600
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Country | US
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Telephone | 719-836-2169
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Fax | 719-836-2375
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Provider Business Mailing Address
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Address Line | PO BOX 1600
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City | FAIRPLAY
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State | CO
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Zip | 80440-1600
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Country | US
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Telephone | 719-836-2169
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Fax | 719-836-2375
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Authorized Official
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Title or Position | CFO
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Name | KATHERINE M FITTING
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Credential | MD
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Telephone | 719-836-2169
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 347E00000X
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Taxonomy Name | Transportation Broker
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License Number |
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License Number State |
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