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General NPI Number Information
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NPI Number | 1073186631
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Entity Type | Organization
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Legal Business Name | ROCKY MOUNTAIN NG CORP
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Dates
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Enumeration Date | 07/21/2021
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Last Update Date | 07/21/2021
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Provider Practice Location Address
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Address Line | 11290 W ALAMEDA AVE STE 220
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City | LAKEWOOD
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State | CO
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Zip | 80226-2511
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Country | US
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Telephone | 303-353-9998
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Fax |
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Provider Business Mailing Address
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Address Line | 12998 MONACO WAY
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City | THORNTON
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State | CO
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Zip | 80602-8941
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Country | US
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Telephone | 720-597-5685
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | RICK GRIMES
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Credential |
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Telephone | 720-597-5685
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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 |
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License Number State |
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