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NPI 1174590335

NPI 1174590335 : ACCENT ON INDEPENDENCE, LLC : LAKEWOOD, CO

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General NPI Number Information
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    NPI Number           |    1174590335
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    Entity Type          |    Organization 
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    Legal Business Name  |    ACCENT ON INDEPENDENCE, LLC 
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Dates
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    Enumeration Date     |    03/07/2006
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    Last Update Date     |    03/13/2019
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Provider Practice Location Address
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    Address Line         |    1550 DOVER ST 
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    City                 |    LAKEWOOD
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    State                |    CO
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    Zip                  |    80215-3106
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    Country              |    US
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    Telephone            |    303-331-0818
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    Fax                  |    303-321-3015
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Provider Business Mailing Address
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    Address Line         |    1550 DOVER ST 
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    City                 |    LAKEWOOD
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    State                |    CO
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    Zip                  |    80215-3106
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    Country              |    US
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    Telephone            |    303-331-0818
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    Fax                  |    303-321-3015
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Authorized Official
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    Title or Position    |    PRESIDENT/CEO
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    Name                 |     DAVID  BOLIN 
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    Credential           |    
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    Telephone            |    303-331-0818
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    253Z00000X
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    Taxonomy Name        |    In Home Supportive Care Agency
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    License Number       |    10E991
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    License Number State |    CO
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Taxonomy #2
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    Taxonomy Code        |    376J00000X
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    Taxonomy Name        |    Homemaker
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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        |    385H00000X
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    Taxonomy Name        |    Respite Care
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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        |    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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