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General NPI Number Information
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NPI Number | 1083127575
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Entity Type | Organization
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Legal Business Name | COBALT TECHNICAL SOLUTIONS INCORPORATED DBA COBALT HOMECARE
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Dates
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Enumeration Date | 11/07/2017
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Last Update Date | 01/16/2018
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Provider Practice Location Address
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Address Line | 9200 E MINERAL AVE STE 175
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City | CENTENNIAL
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State | CO
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Zip | 80112-3412
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Country | US
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Telephone | 720-699-0600
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Fax |
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Provider Business Mailing Address
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Address Line | 8200 S QUEBEC ST STE A-3300
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City | CENTENNIAL
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State | CO
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Zip | 80112-4411
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Country | US
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Telephone | 720-699-0600
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Fax |
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Authorized Official
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Title or Position | DIRECTOR OF BUSINESS OPERATIONS
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Name | PADMAJA DATTATRAYA DARWHEKAR
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Credential | B.S
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Telephone | 720-699-0600
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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 | 04P165
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License Number State | CO
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