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General NPI Number Information
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NPI Number | 1003310582
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Entity Type | Organization
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Legal Business Name | VITALITY CARE, LLC
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Dates
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Enumeration Date | 03/20/2018
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Last Update Date | 03/20/2018
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Provider Practice Location Address
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Address Line | 3000 S JAMAICA CT STE 335
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City | AURORA
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State | CO
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Zip | 80014-4603
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Country | US
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Telephone | 303-993-5033
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Fax | 303-945-2404
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Provider Business Mailing Address
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Address Line | 3000 S JAMAICA CT STE 335
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City | AURORA
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State | CO
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Zip | 80014-4603
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Country | US
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Telephone | 303-993-5033
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Fax | 303-945-2404
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Authorized Official
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Title or Position | OWNER/ADMINISTRATOR
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Name | TETYANA HANSEN
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Credential | ADMINISTRATOR
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Telephone | 303-993-5033
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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 |
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License Number State |
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