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General NPI Number Information
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NPI Number | 1184275224
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Entity Type | Organization
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Legal Business Name | INTERIM HEALTHCARE OF SOUTHEASTERN COLORADO, INC.
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Dates
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Enumeration Date | 09/20/2019
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Last Update Date | 06/26/2020
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Provider Practice Location Address
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Address Line | 1901 N UNION BLVD STE 202
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City | COLORADO SPRINGS
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State | CO
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Zip | 80909-7207
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Country | US
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Telephone | 719-632-9594
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Fax |
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Provider Business Mailing Address
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Address Line | 1901 N UNION BLVD STE 215
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City | COLORADO SPRINGS
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State | CO
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Zip | 80909-2283
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Country | US
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Telephone | 719-632-9594
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Fax |
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Authorized Official
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Title or Position | CHIEF CLINICAL OFFICER
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Name | CYNTHIA JANE RINGLING
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Credential |
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Telephone | 719-632-9900
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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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Taxonomy #2
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Taxonomy Code | 333300000X
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Taxonomy Name | Emergency Response System Companies
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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 | 3747P1801X
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Taxonomy Name | Personal Care Attendant
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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 | 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 #5
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Taxonomy Code | 253Z00000X
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Taxonomy Name | In Home Supportive Care Agency
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License Number |
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License Number State |
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