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General NPI Number Information
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NPI Number | 1073402251
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Entity Type | Organization
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Legal Business Name | COLUMBINE COMMONS HEALTH AND REHAB LLC
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Dates
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Enumeration Date | 07/01/2025
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Last Update Date | 07/30/2025
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Provider Practice Location Address
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Address Line | 1475 MAIN ST
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City | WINDSOR
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State | CO
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Zip | 80550-6029
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Country | US
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Telephone | 970-449-5540
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Fax |
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Provider Business Mailing Address
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Address Line | 947 S 500 E STE 105
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City | AMERICAN FORK
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State | UT
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Zip | 84003-3392
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Country | US
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Telephone | 853-254-3023
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Fax |
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Authorized Official
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Title or Position | CORPORATE BUSINESS DIRECTOR
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Name | WENDY ANDERSON
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Credential |
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Telephone | 801-360-8804
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 314000000X
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Taxonomy Name | Skilled Nursing Facility
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License Number |
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License Number State |
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