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General NPI Number Information
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NPI Number | 1134717374
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Entity Type | Organization
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Legal Business Name | ACHIEVING INDEPENDENCE HOME CARE LLC
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Dates
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Enumeration Date | 01/04/2021
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Last Update Date | 11/19/2021
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Provider Practice Location Address
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Address Line | 38283 US HIGHWAY 24 STE 3
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City | LAKE GEORGE
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State | CO
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Zip | 80827-9715
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Country | US
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Telephone | 719-748-0168
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Fax | 719-931-0313
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Provider Business Mailing Address
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Address Line | 415 COUNTY ROAD 281
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City | WOODLAND PARK
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State | CO
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Zip | 80863-8604
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Country | US
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Telephone | 475-223-2308
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Fax |
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Authorized Official
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Title or Position | MANAGER/OWNER
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Name | MISS SAMANTHA PLATZ
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Credential |
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Telephone | 475-223-2308
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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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