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General NPI Number Information
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NPI Number | 1164827077
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Entity Type | Organization
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Legal Business Name | ACT OF KINDESS LLC
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Dates
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Enumeration Date | 11/04/2014
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Last Update Date | 11/04/2014
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Provider Practice Location Address
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Address Line | 3545 LEYDEN ST
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City | DENVER
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State | CO
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Zip | 80207-1343
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Country | US
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Telephone | 720-635-4734
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 274
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City | PARKER
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State | CO
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Zip | 80134-0274
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Country | US
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Telephone | 720-635-4734
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Fax | 720-420-1322
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Authorized Official
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Title or Position | DIRECTOR
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Name | OLUWOLE JOLAOSO
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Credential |
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Telephone | 720-339-3542
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251B00000X
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Taxonomy Name | Case Management Agency
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License Number | 20131051247
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License Number State | CO
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