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General NPI Number Information
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NPI Number | 1982799680
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Entity Type | Organization
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Legal Business Name | COLORADO WEST HEALTHCARE SYSTEM
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Dates
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Enumeration Date | 10/04/2006
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Last Update Date | 05/11/2015
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Provider Practice Location Address
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Address Line | 1060 ORCHARD AVE. UNIT A
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City | GRAND JUNCTION
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State | CO
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Zip | 81501-2997
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Country | US
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Telephone | 970-243-3400
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Fax | 970-243-6012
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Provider Business Mailing Address
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Address Line | 1060 ORCHARD AVE. UNIT A
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City | GRAND JUNCTION
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State | CO
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Zip | 81501-2997
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Country | US
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Telephone | 970-243-3400
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Fax | 970-243-6012
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Authorized Official
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Title or Position | CHIEF EXECUTIVE OFFICER
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Name | MR. CHRIS THOMAS
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Credential |
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Telephone | 970-256-6200
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 530000008
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License Number State | CO
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Taxonomy #2
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Taxonomy Code | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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License Number | 0530000008
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License Number State | CO
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