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General NPI Number Information
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NPI Number | 1063028579
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Entity Type | Organization
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Legal Business Name | GOOD HEALTH COLORADO
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Dates
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Enumeration Date | 09/21/2020
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Last Update Date | 09/21/2020
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Provider Practice Location Address
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Address Line | 25990 E DAVIES DR
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City | AURORA
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State | CO
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Zip | 80016-6600
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Country | US
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Telephone | 720-601-7266
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Fax | 303-680-6557
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Provider Business Mailing Address
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Address Line | 25990 E DAVIES DR
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City | AURORA
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State | CO
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Zip | 80016-6600
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Country | US
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Telephone | 720-601-7266
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Fax | 303-680-6557
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Authorized Official
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Title or Position | PRESIDENT AND CEO
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Name | MR. JAY WILLIAMS
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Credential | MSC, MGMT, PMP
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Telephone | 720-601-7266
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number |
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License Number State |
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