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General NPI Number Information
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NPI Number | 1215115746
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Entity Type | Organization
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Legal Business Name | COLORADO SERVICES INC
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Dates
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Enumeration Date | 02/06/2008
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Last Update Date | 07/15/2008
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Provider Practice Location Address
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Address Line | 6555 NW 36TH ST SUITE B 324-2
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City | VIRGINIA GARDENS
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State | FL
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Zip | 33166-6978
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Country | US
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Telephone | 305-824-0062
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Fax | 305-266-7888
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Provider Business Mailing Address
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Address Line | 6555 NW 36TH ST SUITE B 324-2
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City | VIRGINIA GARDENS
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State | FL
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Zip | 33166-6978
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Country | US
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Telephone | 303-824-0062
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Fax |
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Authorized Official
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Title or Position | PRESINDENT
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Name | LAZARO SANCHEZ TORO
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Credential |
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Telephone | 305-824-0062
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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License Number |
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License Number State |
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