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General NPI Number Information
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NPI Number | 1114441086
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Entity Type | Organization
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Legal Business Name | ADVANTAGE HOME HEALTH AGENCY
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Dates
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Enumeration Date | 08/01/2017
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Last Update Date | 08/17/2017
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Provider Practice Location Address
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Address Line | 5877 S DUQUESNE CT
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City | AURORA
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State | CO
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Zip | 80016
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Country | US
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Telephone | 720-224-7150
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Fax |
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Provider Business Mailing Address
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Address Line | 5877 S DUQUESNE CT
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City | AURORA
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State | CO
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Zip | 80016-1373
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | MANAGING MEMBER
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Name | FLAVIA NALUNGA
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Credential |
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Telephone | 800-297-9761
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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 |
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License Number State |
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