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General NPI Number Information
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NPI Number | 1033581475
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Entity Type | Organization
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Legal Business Name | F.EJOYHOMECARE
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Dates
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Enumeration Date | 10/26/2015
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Last Update Date | 07/21/2022
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Provider Practice Location Address
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Address Line | 5308 S TELLURIDE WAY
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City | CENTENNIAL
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State | CO
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Zip | 80015-2647
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Country | US
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Telephone | 720-209-2983
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Fax |
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Provider Business Mailing Address
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Address Line | 5308 SOUTH TELLURIDE WAY
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City | CENTENNIAL
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State | CO
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Zip | 80015
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Country | US
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Telephone | 720-209-2983
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | PAUL TERAILLEUR
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Credential |
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Telephone | 720-209-2983
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 311ZA0620X
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Taxonomy Name | Adult Care Home Facility
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License Number |
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License Number State | CO
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