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General NPI Number Information
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NPI Number | 1053768986
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Entity Type | Organization
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Legal Business Name | MR STANLEY BUSINESS DEVELOPMENT, INC.
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Dates
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Enumeration Date | 05/20/2016
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Last Update Date | 05/20/2016
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Provider Practice Location Address
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Address Line | 1101 W MINERAL AVE # 107A
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City | LITTLETON
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State | CO
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Zip | 80120-4513
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Country | US
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Telephone | 720-575-5576
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Fax | 720-634-9709
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Provider Business Mailing Address
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Address Line | 1101 W MINERAL AVE # 107A
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City | LITTLETON
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State | CO
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Zip | 80120-4513
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Country | US
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Telephone | 720-575-5576
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Fax | 720-634-9709
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Authorized Official
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Title or Position | PRESIDENT
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Name | MICHAEL C STANLEY
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Credential |
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Telephone | 720-575-5576
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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 | 04D507
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License Number State | CO
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