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General NPI Number Information
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NPI Number | 1124370929
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Entity Type | Organization
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Legal Business Name | CONTINUUM PEDIATRIC NURSING SERVICES, INC.
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Dates
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Enumeration Date | 10/04/2012
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Last Update Date | 12/31/2012
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Provider Practice Location Address
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Address Line | 5340 S QUEBEC ST SUITE 255N
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City | GREENWOOD VILLAGE
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State | CO
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Zip | 80111-1909
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Country | US
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Telephone | 303-997-7411
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Fax | 866-495-2577
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Provider Business Mailing Address
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Address Line | 5340 S QUEBEC ST SUITE 255N
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City | GREENWOOD VILLAGE
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State | CO
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Zip | 80111-1909
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Country | US
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Telephone | 303-997-7411
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Fax | 866-495-2577
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. JOSEPH GREEN JR.
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Credential |
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Telephone | 703-564-1653
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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 | 04D512
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License Number State | CO
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