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General NPI Number Information
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NPI Number | 1144692583
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Entity Type | Organization
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Legal Business Name | OPTA HOME HEALTH CARE OF COLORADO INC
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Dates
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Enumeration Date | 10/26/2015
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Last Update Date | 10/07/2020
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Provider Practice Location Address
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Address Line | 6795 E TENNESSEE AVE STE 345
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City | DENVER
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State | CO
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Zip | 80224-1655
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Country | US
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Telephone | 303-484-9323
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Fax | 303-484-9819
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Provider Business Mailing Address
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Address Line | 6795 E TENNESSEE AVE STE 345
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City | DENVER
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State | CO
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Zip | 80224-1655
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Country | US
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Telephone | 303-484-9323
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Fax | 303-484-9323
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Authorized Official
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Title or Position | PRESIDENT
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Name | EBERE ISIGUZO OGEMDI
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Credential |
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Telephone | 303-484-9323
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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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