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General NPI Number Information
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NPI Number | 1205373701
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Entity Type | Organization
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Legal Business Name | SENIOR CARE SYSTEMS OF CO INC
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Dates
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Enumeration Date | 01/23/2017
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Last Update Date | 01/23/2017
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Provider Practice Location Address
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Address Line | 3 DOUGLAS CT
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City | PUEBLO
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State | CO
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Zip | 81001-1365
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Country | US
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Telephone | 719-544-3999
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Fax |
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Provider Business Mailing Address
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Address Line | 3 DOUGLAS CT
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City | PUEBLO
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State | CO
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Zip | 81001-1365
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Country | US
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Telephone | 719-544-3999
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | MS. PHYLLIS K SANCHEZ
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Credential |
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Telephone | 719-544-3999
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QA0600X
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Taxonomy Name | Adult Day Care Clinic/Center
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License Number | 230636
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License Number State | CO
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Taxonomy #2
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Taxonomy Code | 385H00000X
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Taxonomy Name | Respite Care
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License Number | 230636
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License Number State | CO
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Taxonomy #3
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Taxonomy Code | 310400000X
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Taxonomy Name | Assisted Living Facility
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License Number | 230636
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License Number State | CO
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