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General NPI Number Information
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NPI Number | 1992216261
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Entity Type | Organization
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Legal Business Name | COMPASS PEAK IMAGING, LLC
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Dates
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Enumeration Date | 10/13/2017
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Last Update Date | 10/13/2017
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Provider Practice Location Address
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Address Line | 120 MIDLAND AVE STE 260
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City | GLENWOOD SPRINGS
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State | CO
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Zip | 81601-9800
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Country | US
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Telephone | 970-665-2194
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Fax | 844-684-4238
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Provider Business Mailing Address
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Address Line | PO BOX 548
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City | GLENWOOD SPRINGS
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State | CO
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Zip | 81602-0548
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Country | US
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Telephone | 970-945-7564
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Fax | 844-684-4238
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Authorized Official
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Title or Position | CHIEF MEDICAL OFFICER
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Name | ELIZABETH KULWIEC
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Credential | MD
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Telephone | 970-945-7564
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QR0200X
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Taxonomy Name | Radiology Clinic/Center
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License Number |
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License Number State |
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