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NPI 1144733809

NPI 1144733809 : ALTRA HEALTHCARE STAFFING, LLC. : HIGHLANDS RANCH, CO

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General NPI Number Information
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    NPI Number           |    1144733809
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    Entity Type          |    Organization 
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    Legal Business Name  |    ALTRA HEALTHCARE STAFFING, LLC. 
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Dates
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    Enumeration Date     |    11/15/2017
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    Last Update Date     |    11/15/2017
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Provider Practice Location Address
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    Address Line         |    9619 QUEENSCLIFFE DR 
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    City                 |    HIGHLANDS RANCH
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    State                |    CO
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    Zip                  |    80130-7166
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    Country              |    US
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    Telephone            |    720-389-9393
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    9619 QUEENSCLIFFE DR 
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    City                 |    HIGHLANDS RANCH
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    State                |    CO
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    Zip                  |    80130-7166
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    Country              |    US
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    Telephone            |    303-502-4314
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    Fax                  |    
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Authorized Official
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    Title or Position    |    FOUNDER
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    Name                 |     JOHN  WELCH 
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    Credential           |    
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    Telephone            |    720-389-9393
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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 |    NULL
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Taxonomy #2
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    Taxonomy Code        |    251F00000X
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    Taxonomy Name        |    Home Infusion Agency
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    License Number       |    
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    License Number State |    NULL
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Taxonomy #3
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    Taxonomy Code        |    251G00000X
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    Taxonomy Name        |    Community Based Hospice Care Agency
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    License Number       |    
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    License Number State |    NULL
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Taxonomy #4
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    Taxonomy Code        |    261Q00000X
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    Taxonomy Name        |    Clinic/Center
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    License Number       |    
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    License Number State |    NULL
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Taxonomy #5
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    Taxonomy Code        |    305S00000X
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    Taxonomy Name        |    Point of Service
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    License Number       |    
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    License Number State |    NULL
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Taxonomy #6
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    Taxonomy Code        |    363L00000X
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    Taxonomy Name        |    Nurse Practitioner
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    License Number       |    
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    License Number State |    NULL
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Taxonomy #7
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    Taxonomy Code        |    163W00000X
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    Taxonomy Name        |    Registered Nurse
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    License Number       |    
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    License Number State |    NULL
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Taxonomy #8
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    Taxonomy Code        |    163WH0200X
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    Taxonomy Name        |    Home Health Registered Nurse
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    License Number       |    
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    License Number State |    NULL
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Taxonomy #9
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    Taxonomy Code        |    164W00000X
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    Taxonomy Name        |    Licensed Practical Nurse
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    License Number       |    
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    License Number State |    NULL
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Taxonomy #10
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    Taxonomy Code        |    208000000X
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    Taxonomy Name        |    Pediatrics Physician
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    License Number       |    
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    License Number State |    NULL
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Taxonomy #11
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    Taxonomy Code        |    224Z00000X
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    Taxonomy Name        |    Occupational Therapy Assistant
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    License Number       |    
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    License Number State |    NULL
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Taxonomy #12
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    Taxonomy Code        |    225100000X
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    Taxonomy Name        |    Physical Therapist
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    License Number       |    
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    License Number State |    NULL
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