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General NPI Number Information
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NPI Number | 1215759550
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Entity Type | Organization
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Legal Business Name | CHANCE HOMES
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Dates
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Enumeration Date | 10/28/2024
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Last Update Date | 10/28/2024
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Provider Practice Location Address
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Address Line | 10440 HORTON DR
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City | COLORADO SPRINGS
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State | CO
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Zip | 80925-1474
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Country | US
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Telephone | 917-405-8990
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Fax |
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Provider Business Mailing Address
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Address Line | 10440 HORTON DR
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City | COLORADO SPRINGS
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State | CO
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Zip | 80925-1474
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Country | US
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Telephone | 917-405-8990
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | STEPHEN JONES
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Credential |
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Telephone | 917-405-8990
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QR0405X
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Taxonomy Name | Substance Use Disorder Rehabilitation Clinic/Center
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License Number |
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License Number State |
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