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NPI 1003153990

NPI 1003153990 : BEL HOME HEALTH AGENCY : CENTENNIAL, CO

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General NPI Number Information
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    NPI Number           |    1003153990
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    Entity Type          |    Organization 
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    Legal Business Name  |    BEL HOME HEALTH AGENCY 
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Dates
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    Enumeration Date     |    01/11/2013
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    Last Update Date     |    01/11/2013
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Provider Practice Location Address
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    Address Line         |    5873 S NEPAL ST 
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    City                 |    CENTENNIAL
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    State                |    CO
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    Zip                  |    80015-3353
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    Country              |    US
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    Telephone            |    720-289-5051
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    5873 S NEPAL ST 
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    City                 |    CENTENNIAL
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    State                |    CO
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    Zip                  |    80015-3353
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    Country              |    US
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    Telephone            |    720-289-5051
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    Fax                  |    
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Authorized Official
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    Title or Position    |    CEO
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    Name                 |     FAITH  IGBERAESE 
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    Credential           |    
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    Telephone            |    720-289-5051
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    251E00000X
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    Taxonomy Name        |    Home Health Agency
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    License Number       |    20101552357
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    License Number State |    CO
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