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General NPI Number Information
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NPI Number | 1023706843
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Entity Type | Organization
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Legal Business Name | ONE SOURCE POST ACUTE LLC
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Dates
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Enumeration Date | 04/28/2023
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Last Update Date | 06/13/2023
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Provider Practice Location Address
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Address Line | 730 W HAMPDEN AVE STE 300
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City | ENGLEWOOD
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State | CO
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Zip | 80110-2132
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Country | US
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Telephone | 719-223-9336
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Fax | 855-507-8537
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Provider Business Mailing Address
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Address Line | 730 W HAMPDEN AVE STE 300
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City | ENGLEWOOD
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State | CO
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Zip | 80110-2132
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Country | US
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Telephone | 719-223-9336
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Fax | 855-507-8537
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Authorized Official
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Title or Position | OWNER
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Name | MR. KURT CANNATA
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Credential |
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Telephone | 303-923-3698
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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License Number |
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License Number State |
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