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General NPI Number Information
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NPI Number | 1114885068
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Entity Type | Organization
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Legal Business Name | DIVINE STAR HHC LLC
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Dates
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Enumeration Date | 01/12/2026
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Last Update Date | 01/12/2026
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Provider Practice Location Address
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Address Line | 15101 E ILIFF AVE STE 206
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City | AURORA
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State | CO
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Zip | 80014-4552
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Country | US
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Telephone | 720-317-3589
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Fax | 720-222-5933
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Provider Business Mailing Address
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Address Line | 15101 E ILIFF AVE STE 206
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City | AURORA
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State | CO
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Zip | 80014-4552
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Country | US
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Telephone | 720-317-3589
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Fax | 720-222-5933
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Authorized Official
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Title or Position | ADMINISTRATOR/OWNER
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Name | LAURA BADASYAN
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Credential |
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Telephone | 720-317-3589
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3747P1801X
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Taxonomy Name | Personal Care Attendant
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License Number |
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License Number State |
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