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General NPI Number Information
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NPI Number | 1023955507
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Entity Type | Organization
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Legal Business Name | SOUTHRAY HOME SOLUTIONS LLC
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Dates
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Enumeration Date | 05/01/2026
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Last Update Date | 05/01/2026
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Provider Practice Location Address
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Address Line | 2126 PRIMROSE DR
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City | FORT COLLINS
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State | CO
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Zip | 80526-2127
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Country | US
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Telephone | 970-599-1465
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Fax |
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Provider Business Mailing Address
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Address Line | 2126 PRIMROSE DR
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City | FORT COLLINS
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State | CO
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Zip | 80526-2127
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Country | US
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Telephone | 970-599-1465
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Fax |
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Authorized Official
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Title or Position | OPERATIONS MANAGER
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Name | SERGIO GRANADOS
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Credential | GC
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Telephone | 970-214-4921
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 171WH0202X
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Taxonomy Name | Home Modifications Contractor
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License Number |
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License Number State |
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