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General NPI Number Information
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NPI Number | 1033713805
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Entity Type | Organization
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Legal Business Name | ALERACARE OF COLORADO, LLC
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Dates
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Enumeration Date | 11/23/2020
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Last Update Date | 10/07/2024
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Provider Practice Location Address
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Address Line | 1303 FORTINO BLVD
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City | PUEBLO
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State | CO
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Zip | 81008-2032
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Country | US
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Telephone | 888-209-8874
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Fax |
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Provider Business Mailing Address
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Address Line | 5350 E HIGH ST STE 300
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City | PHOENIX
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State | AZ
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Zip | 85054-5561
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Country | US
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Telephone | 888-209-8874
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | MARIANNE LABARBERA
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Credential | MD
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Telephone | 888-209-8874
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM1300X
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Taxonomy Name | Multi-Specialty Clinic/Center
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License Number |
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License Number State |
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