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General NPI Number Information
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NPI Number | 1134284136
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Entity Type | Organization
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Legal Business Name | EASTERN COLORADO SERVICES FOR THE DEVELOPMENTALLY DISABLED, INC
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Dates
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Enumeration Date | 12/27/2006
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Last Update Date | 01/26/2025
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Provider Practice Location Address
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Address Line | 617 S 10TH AVE
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City | STERLING
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State | CO
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Zip | 80751-3426
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Country | US
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Telephone | 970-522-7121
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Fax | 970-522-1173
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Provider Business Mailing Address
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Address Line | 617 S 10TH AVE P. O. BOX 1682
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City | STERLING
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State | CO
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Zip | 80751-3426
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Country | US
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Telephone | 970-522-7121
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Fax | 970-522-1173
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Authorized Official
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Title or Position | ACCOUNTING CLERK
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Name | ROBIN YAPP
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Credential |
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Telephone | 970-522-7121
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 253Z00000X
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Taxonomy Name | In Home Supportive Care Agency
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 320600000X
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Taxonomy Name | Intellectual and/or Developmental Disabilities Residential Treatment Facility
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 320900000X
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Taxonomy Name | Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 343900000X
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Taxonomy Name | Non-emergency Medical Transport (VAN)
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 373H00000X
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Taxonomy Name | Day Training/Habilitation Specialist
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License Number |
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License Number State |
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