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General NPI Number Information
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NPI Number | 1023945185
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Entity Type | Organization
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Legal Business Name | JAH RAFA COMPANY
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Dates
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Enumeration Date | 05/05/2026
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Last Update Date | 05/05/2026
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Provider Practice Location Address
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Address Line | 2200 E 104TH AVE STE 203
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City | THORNTON
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State | CO
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Zip | 80233-4403
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Country | US
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Telephone | 720-762-3804
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Fax |
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Provider Business Mailing Address
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Address Line | 2200 E 104TH AVE STE 203
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City | THORNTON
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State | CO
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Zip | 80233-4403
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER/PRESIDENT
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Name | ANGIE PAOLA VALLEJO
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Credential |
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Telephone | 720-762-3804
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 253Z00000X
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Taxonomy Name | In Home Supportive Care Agency
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License Number |
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License Number State |
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