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General NPI Number Information
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NPI Number | 1073754875
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Entity Type | Organization
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Legal Business Name | SUPERIOR NURSING SERVICES, LLC
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Dates
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Enumeration Date | 03/09/2009
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Last Update Date | 03/09/2009
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Provider Practice Location Address
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Address Line | 21705 WHIRLAWAY AVE
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City | PARKER
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State | CO
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Zip | 80138-3059
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Country | US
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Telephone | 303-980-0015
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Fax | 720-542-3193
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Provider Business Mailing Address
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Address Line | 21705 WHIRLAWAY AVE
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City | PARKER
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State | CO
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Zip | 80138-3059
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Country | US
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Telephone | 303-980-0015
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Fax | 720-542-3193
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Authorized Official
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Title or Position | RN/SOLE PROPRIETOR
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Name | MR. RICHARD B LEE
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Credential | RN
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Telephone | 303-980-0015
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251J00000X
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Taxonomy Name | Nursing Care Agency
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License Number | 140522
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License Number State | CO
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