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General NPI Number Information
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NPI Number | 1114092681
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Entity Type | Organization
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Legal Business Name | PLATTEW VALLEY HOME HEALTH CARE
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Dates
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Enumeration Date | 11/21/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 399 BUSH ST
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City | BRIGHTON
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State | CO
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Zip | 80601-2036
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Country | US
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Telephone | 303-655-1957
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Fax | 303-659-9054
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Provider Business Mailing Address
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Address Line | 399 BUSH ST
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City | BRIGHTON
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State | CO
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Zip | 80601-2036
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Country | US
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Telephone | 303-655-1957
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Fax | 303-659-9054
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Authorized Official
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Title or Position | PREIDENY CEO
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Name | MRS. SANDY LYNN COLLIER
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Credential | ADM LPN
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Telephone | 303-655-1957
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 164W00000X
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Taxonomy Name | Licensed Practical Nurse
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License Number | 39009
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License Number State | CO
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