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General NPI Number Information
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NPI Number | 1144770496
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Entity Type | Organization
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Legal Business Name | VIRTUOUS SUPPORT SERVICES
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Dates
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Enumeration Date | 10/11/2016
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Last Update Date | 10/11/2016
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Provider Practice Location Address
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Address Line | 14705 E HARVARD AVE
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City | AURORA
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State | CO
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Zip | 80014-2435
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Country | US
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Telephone | 720-404-5614
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Fax |
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Provider Business Mailing Address
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Address Line | 14705 E HARVARD AVE
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City | AURORA
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State | CO
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Zip | 80014-2435
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Country | US
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Telephone | 720-404-5614
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | MR. EMMANUEL NKANSAH
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Credential |
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Telephone | 720-404-5614
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101Y00000X
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Taxonomy Name | Counselor
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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 | 305R00000X
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Taxonomy Name | Preferred Provider Organization
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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 | 311Z00000X
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Taxonomy Name | Custodial Care 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 | 320800000X
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Taxonomy Name | Mental Illness Community Based Residential Treatment Facility
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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 | 385HR2050X
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Taxonomy Name | Respite Care Camp
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License Number |
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License Number State |
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Taxonomy #6
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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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