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General NPI Number Information
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NPI Number | 1093350662
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Entity Type | Organization
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Legal Business Name | ST. PAUL HEALTH CENTER, LTD
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Dates
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Enumeration Date | 11/07/2019
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Last Update Date | 07/26/2021
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Provider Practice Location Address
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Address Line | 1667 SAINT PAUL ST
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City | DENVER
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State | CO
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Zip | 80206-1614
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Country | US
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Telephone | 303-399-2040
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Fax |
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Provider Business Mailing Address
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Address Line | 1127 E 16TH AVE
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City | DENVER
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State | CO
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Zip | 80218-1506
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Country | US
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Telephone | 303-421-3600
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MR. RICHARD WHELAN
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Credential |
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Telephone | 303-399-2040
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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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